| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,289 |
16,127 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,114 |
20,714 |
$1.00M |
| 99215 |
Prolong outpt/office vis |
1,419 |
1,281 |
$146K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,476 |
2,352 |
$135K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,697 |
1,625 |
$40K |
| 36415 |
Collection of venous blood by venipuncture |
12,098 |
10,806 |
$34K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
574 |
546 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
504 |
493 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,049 |
1,940 |
$25K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
790 |
759 |
$21K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
745 |
716 |
$20K |
| 90461 |
|
832 |
807 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
307 |
278 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
524 |
507 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,326 |
2,196 |
$17K |
| 80061 |
Lipid panel |
1,458 |
1,402 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,019 |
975 |
$14K |
| 87400 |
|
996 |
553 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
165 |
161 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
996 |
948 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,536 |
1,436 |
$9K |
| 90686 |
|
1,307 |
1,251 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
913 |
876 |
$7K |
| 87210 |
|
1,187 |
1,124 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
94 |
88 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
179 |
170 |
$5K |
| 92551 |
|
752 |
725 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
744 |
707 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
80 |
76 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
55 |
$4K |
| 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 |
57 |
52 |
$4K |
| 0001A |
|
120 |
104 |
$4K |
| 0064A |
|
97 |
91 |
$3K |
| 90682 |
|
101 |
93 |
$3K |
| 0011A |
|
223 |
212 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
545 |
526 |
$3K |
| 0012A |
|
187 |
184 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
127 |
123 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
77 |
76 |
$3K |
| 81003 |
|
1,497 |
1,409 |
$2K |
| 90670 |
|
323 |
315 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
326 |
277 |
$2K |
| 86803 |
|
163 |
159 |
$2K |
| 99490 |
Ccm add 20min |
133 |
109 |
$2K |
| 86780 |
|
140 |
139 |
$2K |
| 81025 |
|
230 |
222 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
63 |
57 |
$1K |
| 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 |
48 |
44 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
211 |
196 |
$858.31 |
| 0004A |
|
24 |
23 |
$834.21 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
58 |
52 |
$780.20 |
| 99173 |
|
551 |
536 |
$755.55 |
| 82728 |
|
51 |
50 |
$681.45 |
| 0071A |
|
15 |
15 |
$640.11 |
| 0072A |
|
15 |
15 |
$639.27 |
| 96127 |
|
154 |
151 |
$588.47 |
| 0054A |
|
13 |
13 |
$514.77 |
| 0002A |
|
13 |
12 |
$506.20 |
| 82565 |
|
277 |
260 |
$478.42 |
| 90715 |
|
58 |
53 |
$430.63 |
| 0134A |
|
12 |
12 |
$408.09 |
| 99442 |
|
13 |
13 |
$380.85 |
| 85018 |
|
216 |
206 |
$366.27 |
| 80053 |
Comprehensive metabolic panel |
28 |
26 |
$295.80 |
| 83550 |
|
26 |
26 |
$221.04 |
| 84153 |
|
12 |
12 |
$214.69 |
| 80305 |
|
13 |
13 |
$154.34 |
| 99497 |
|
32 |
30 |
$149.42 |
| 82043 |
|
36 |
36 |
$143.11 |
| 87186 |
|
12 |
12 |
$103.74 |
| 87077 |
|
14 |
13 |
$99.86 |
| 80051 |
|
87 |
81 |
$97.10 |
| 83540 |
|
14 |
14 |
$91.71 |
| 87081 |
|
122 |
112 |
$90.91 |
| 90723 |
|
65 |
64 |
$83.00 |
| 90680 |
|
13 |
13 |
$64.50 |
| 82570 |
|
12 |
12 |
$63.98 |
| 90648 |
|
120 |
118 |
$44.72 |
| 84520 |
|
126 |
117 |
$5.06 |
| 90651 |
|
62 |
54 |
$0.00 |
| 91306 |
|
100 |
90 |
$0.00 |
| 91301 |
|
285 |
266 |
$0.00 |
| 91307 |
|
67 |
58 |
$0.00 |
| 91305 |
|
38 |
38 |
$0.00 |
| 90734 |
|
29 |
26 |
$0.00 |
| 90633 |
|
15 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
139 |
70 |
$0.00 |
| X5622 |
|
231 |
225 |
$0.00 |
| 91300 |
|
210 |
178 |
$0.00 |
| 90710 |
|
14 |
13 |
$0.00 |