| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
8,686 |
6,802 |
$153K |
| G9012 |
Other specified case management service not elsewhere classified |
1,939 |
1,389 |
$101K |
| 0510 |
|
545 |
493 |
$10K |
| 99221 |
|
252 |
237 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
167 |
156 |
$5K |
| 0516 |
|
273 |
248 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,236 |
2,233 |
$527.70 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,335 |
4,297 |
$522.39 |
| 80061 |
Lipid panel |
8,799 |
8,756 |
$448.33 |
| 92250 |
|
1,319 |
1,318 |
$415.81 |
| 80053 |
Comprehensive metabolic panel |
10,046 |
9,434 |
$359.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
11,030 |
10,946 |
$338.10 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
695 |
693 |
$321.02 |
| 94760 |
|
84 |
82 |
$297.10 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
759 |
759 |
$250.89 |
| 87522 |
Neg quan hep c or qual rna |
1,385 |
1,376 |
$237.45 |
| 92133 |
|
377 |
373 |
$198.91 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,155 |
7,603 |
$196.35 |
| 90750 |
|
222 |
221 |
$185.99 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,128 |
1,119 |
$179.53 |
| 99443 |
|
629 |
613 |
$166.20 |
| 82274 |
|
2,692 |
2,684 |
$156.44 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,127 |
1,118 |
$149.08 |
| 82607 |
|
2,015 |
2,001 |
$137.46 |
| 92134 |
|
546 |
542 |
$128.36 |
| 86703 |
|
2,187 |
2,179 |
$117.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,564 |
3,527 |
$115.24 |
| 99442 |
|
3,377 |
3,348 |
$107.35 |
| 85027 |
|
3,443 |
3,343 |
$102.96 |
| 90686 |
|
819 |
817 |
$95.44 |
| 86480 |
|
431 |
426 |
$86.35 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,384 |
4,292 |
$79.41 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
43 |
$74.24 |
| 82043 |
|
2,656 |
2,648 |
$73.92 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
279 |
274 |
$73.56 |
| 88142 |
|
254 |
254 |
$71.46 |
| 80076 |
|
2,290 |
2,281 |
$68.56 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,208 |
10,575 |
$60.35 |
| 82540 |
|
2,656 |
2,648 |
$58.25 |
| 86141 |
|
387 |
382 |
$55.36 |
| 76770 |
|
39 |
39 |
$55.14 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
76 |
$43.41 |
| 90715 |
|
79 |
79 |
$42.70 |
| 83970 |
|
116 |
110 |
$34.84 |
| 84153 |
|
332 |
332 |
$32.38 |
| G9920 |
Screening performed and negative |
739 |
738 |
$28.71 |
| 77080 |
|
38 |
38 |
$25.78 |
| 92015 |
Determination of refractive state |
401 |
400 |
$23.79 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12,568 |
10,433 |
$23.76 |
| 84439 |
|
1,012 |
984 |
$23.57 |
| 86780 |
|
1,070 |
1,062 |
$22.58 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
94 |
94 |
$22.33 |
| 85610 |
|
1,590 |
1,224 |
$20.76 |
| 99441 |
|
1,567 |
1,532 |
$20.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,232 |
4,998 |
$17.92 |
| 81001 |
|
2,242 |
2,178 |
$13.70 |
| 82746 |
|
402 |
399 |
$12.94 |
| 87338 |
|
344 |
342 |
$12.66 |
| 83550 |
|
793 |
782 |
$12.33 |
| 82728 |
|
874 |
853 |
$11.95 |
| 85652 |
|
436 |
430 |
$11.28 |
| 83540 |
|
810 |
799 |
$10.24 |
| 86706 |
|
183 |
183 |
$9.41 |
| 87340 |
|
901 |
897 |
$9.03 |
| 81025 |
|
125 |
110 |
$8.37 |
| 81003 |
|
1,117 |
1,090 |
$7.76 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
679 |
660 |
$7.08 |
| 82570 |
|
146 |
138 |
$4.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
526 |
525 |
$4.42 |
| 82248 |
|
62 |
62 |
$4.37 |
| 84100 |
|
415 |
384 |
$4.21 |
| 87210 |
|
27 |
27 |
$2.64 |
| 85008 |
|
144 |
142 |
$0.51 |
| 3078F |
|
4,773 |
4,425 |
$0.00 |
| 84450 |
|
123 |
123 |
$0.00 |
| 86900 |
|
140 |
130 |
$0.00 |
| 82565 |
|
111 |
110 |
$0.00 |
| 76642 |
|
291 |
290 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,057 |
659 |
$0.00 |
| 3051F |
|
375 |
368 |
$0.00 |
| 1033F |
|
141 |
137 |
$0.00 |
| 3046F |
|
240 |
233 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
234 |
234 |
$0.00 |
| 84460 |
|
375 |
373 |
$0.00 |
| 3725F |
|
48 |
47 |
$0.00 |
| 98966 |
|
257 |
242 |
$0.00 |
| 77065 |
Tomosynthesis, mammo |
91 |
91 |
$0.00 |
| 97161 |
|
123 |
123 |
$0.00 |
| 98960 |
|
66 |
64 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,151 |
1,131 |
$0.00 |
| 98968 |
|
237 |
201 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
40 |
40 |
$0.00 |
| 90658 |
|
57 |
57 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
418 |
406 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
136 |
133 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
379 |
377 |
$0.00 |
| 96160 |
|
420 |
419 |
$0.00 |
| 86015 |
|
13 |
13 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
97 |
97 |
$0.00 |
| 3077F |
|
742 |
676 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
95 |
95 |
$0.00 |
| 73030 |
|
13 |
13 |
$0.00 |
| 90653 |
|
50 |
50 |
$0.00 |
| 77062 |
|
169 |
169 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
67 |
66 |
$0.00 |
| 86039 |
|
13 |
13 |
$0.00 |
| 80074 |
|
44 |
44 |
$0.00 |
| 92083 |
|
97 |
95 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
70 |
$0.00 |
| 92020 |
|
48 |
48 |
$0.00 |
| 85014 |
|
69 |
69 |
$0.00 |
| 11721 |
|
13 |
13 |
$0.00 |
| 2021F |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
85 |
$0.00 |
| 99201 |
|
63 |
61 |
$0.00 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
25 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$0.00 |
| 86705 |
|
13 |
13 |
$0.00 |
| 86708 |
|
14 |
14 |
$0.00 |
| 91300 |
|
33 |
33 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
14 |
14 |
$0.00 |
| 90461 |
|
15 |
14 |
$0.00 |
| 3074F |
|
3,699 |
3,458 |
$0.00 |
| 70300 |
|
127 |
125 |
$0.00 |
| 1111F |
|
1,780 |
1,632 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
22,466 |
20,216 |
$0.00 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
384 |
373 |
$0.00 |
| 83735 |
|
214 |
189 |
$0.00 |
| 3008F |
|
1,200 |
1,180 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
111 |
111 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
96 |
72 |
$0.00 |
| 85730 |
|
226 |
223 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
569 |
556 |
$0.00 |
| 3080F |
|
201 |
192 |
$0.00 |
| 1220F |
|
616 |
608 |
$0.00 |
| 96161 |
|
62 |
62 |
$0.00 |
| 73564 |
|
65 |
63 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,243 |
3,214 |
$0.00 |
| 3044F |
|
1,234 |
1,231 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
165 |
165 |
$0.00 |
| 0064A |
|
62 |
62 |
$0.00 |
| 86850 |
|
109 |
101 |
$0.00 |
| 1000F |
|
26 |
26 |
$0.00 |
| 85018 |
|
69 |
69 |
$0.00 |
| 3052F |
|
201 |
199 |
$0.00 |
| 74174 |
|
24 |
24 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
64 |
64 |
$0.00 |
| 3079F |
|
662 |
630 |
$0.00 |
| 99607 |
|
124 |
109 |
$0.00 |
| 92227 |
|
188 |
186 |
$0.00 |
| 3075F |
|
678 |
653 |
$0.00 |
| 99606 |
|
236 |
197 |
$0.00 |
| 90677 |
|
35 |
35 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
25 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
157 |
157 |
$0.00 |
| 91306 |
|
12 |
12 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| 96415 |
|
18 |
14 |
$0.00 |
| 86901 |
|
140 |
130 |
$0.00 |
| 90656 |
|
249 |
249 |
$0.00 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$0.00 |
| 98967 |
|
15 |
15 |
$0.00 |