| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93,085 |
80,350 |
$3.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60,724 |
50,621 |
$2.26M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,092 |
7,413 |
$594K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,417 |
7,361 |
$541K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,966 |
6,787 |
$403K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,384 |
6,601 |
$321K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,292 |
2,153 |
$305K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,248 |
4,693 |
$282K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,330 |
2,910 |
$241K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,276 |
10,946 |
$226K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,800 |
7,848 |
$218K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,144 |
13,394 |
$200K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18,561 |
8,130 |
$198K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,596 |
2,303 |
$185K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
682 |
615 |
$156K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,294 |
11,703 |
$129K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,811 |
1,952 |
$106K |
| 95886 |
|
892 |
809 |
$104K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
6,384 |
1,645 |
$102K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,232 |
7,190 |
$97K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
7,353 |
1,810 |
$94K |
| 99381 |
|
1,110 |
927 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,437 |
2,966 |
$77K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
600 |
552 |
$71K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,732 |
12,856 |
$69K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,278 |
1,274 |
$60K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,226 |
1,379 |
$57K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
652 |
499 |
$52K |
| 36415 |
Collection of venous blood by venipuncture |
35,582 |
26,618 |
$39K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,272 |
1,135 |
$38K |
| 99177 |
|
6,314 |
5,563 |
$38K |
| 80061 |
Lipid panel |
11,182 |
7,978 |
$37K |
| 80050 |
General health panel |
1,571 |
1,246 |
$34K |
| 93000 |
|
4,414 |
3,764 |
$34K |
| 95911 |
|
265 |
238 |
$33K |
| 20610 |
|
1,277 |
817 |
$30K |
| 90473 |
|
2,293 |
2,015 |
$29K |
| 95117 |
|
2,452 |
872 |
$27K |
| 3008F |
|
31,161 |
25,961 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
272 |
245 |
$21K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
133 |
79 |
$20K |
| 99385 |
|
218 |
199 |
$20K |
| 95811 |
|
90 |
80 |
$19K |
| 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 |
281 |
260 |
$18K |
| 95819 |
|
184 |
162 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
254 |
229 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,247 |
1,039 |
$18K |
| 96161 |
|
1,475 |
1,255 |
$18K |
| 80053 |
Comprehensive metabolic panel |
9,321 |
6,729 |
$18K |
| 72110 |
|
769 |
696 |
$16K |
| 97161 |
|
383 |
333 |
$16K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,287 |
1,556 |
$15K |
| 99173 |
|
2,567 |
2,308 |
$14K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
32 |
28 |
$14K |
| 99307 |
|
2,078 |
1,824 |
$13K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,600 |
1,113 |
$13K |
| 95913 |
|
70 |
66 |
$12K |
| 99383 |
|
154 |
124 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,603 |
3,974 |
$12K |
| 90674 |
|
1,463 |
1,244 |
$12K |
| 96127 |
|
2,799 |
2,388 |
$11K |
| 92551 |
|
1,483 |
1,350 |
$11K |
| 92552 |
|
703 |
583 |
$10K |
| 72100 |
|
776 |
622 |
$10K |
| 81001 |
|
6,422 |
4,929 |
$10K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
873 |
732 |
$10K |
| 0240U |
|
69 |
69 |
$10K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
44 |
38 |
$9K |
| 88304 |
|
406 |
350 |
$8K |
| 95024 |
|
102 |
96 |
$8K |
| 99382 |
|
97 |
89 |
$8K |
| 95806 |
|
84 |
76 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
81 |
81 |
$7K |
| 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 |
281 |
260 |
$6K |
| 83735 |
|
1,921 |
1,504 |
$6K |
| 81003 |
|
4,306 |
3,442 |
$6K |
| 87631 |
|
92 |
49 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,441 |
1,780 |
$5K |
| 90670 |
|
5,201 |
4,575 |
$5K |
| 73110 |
|
270 |
205 |
$5K |
| 84481 |
|
818 |
627 |
$5K |
| 82570 |
|
2,968 |
2,093 |
$4K |
| 36416 |
|
3,084 |
2,459 |
$4K |
| 17110 |
|
114 |
104 |
$4K |
| 83655 |
|
345 |
321 |
$4K |
| 85018 |
|
1,802 |
1,535 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
116 |
94 |
$4K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
113 |
74 |
$4K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
14 |
14 |
$4K |
| 93356 |
|
242 |
182 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,249 |
1,646 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
63 |
57 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
171 |
152 |
$3K |
| 99205 |
Prolong outpt/office vis |
32 |
30 |
$3K |
| 82043 |
|
3,010 |
2,111 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
78 |
70 |
$3K |
| 93015 |
|
106 |
75 |
$3K |
| 90686 |
|
3,777 |
3,354 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
194 |
91 |
$3K |
| 96160 |
|
217 |
172 |
$3K |
| 84439 |
|
1,090 |
820 |
$3K |
| 3074F |
|
32,743 |
28,624 |
$3K |
| 64405 |
|
74 |
55 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
16 |
14 |
$2K |
| 3078F |
|
29,057 |
25,319 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
16 |
14 |
$2K |
| 90677 |
|
1,064 |
1,018 |
$2K |
| 73560 |
|
232 |
174 |
$2K |
| 3079F |
|
9,899 |
8,639 |
$2K |
| 94010 |
|
90 |
64 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,307 |
836 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
100 |
73 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
25 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
205 |
175 |
$2K |
| 82607 |
|
565 |
415 |
$2K |
| 88302 |
|
130 |
80 |
$2K |
| 88312 |
|
90 |
79 |
$2K |
| 99215 |
Prolong outpt/office vis |
29 |
26 |
$2K |
| 85652 |
|
773 |
625 |
$2K |
| 90681 |
|
2,244 |
1,964 |
$1K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
286 |
210 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
286 |
260 |
$1K |
| 85060 |
|
210 |
185 |
$1K |
| 90723 |
|
4,579 |
4,049 |
$1K |
| 0011A |
|
41 |
36 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
60 |
54 |
$1K |
| 87807 |
|
117 |
110 |
$1K |
| 99305 |
|
50 |
43 |
$1K |
| 0012A |
|
32 |
31 |
$1K |
| 86706 |
|
202 |
136 |
$1K |
| 73610 |
|
70 |
56 |
$1K |
| 86803 |
|
142 |
96 |
$987.14 |
| 99306 |
Prolong nursin fac eval 15m |
33 |
28 |
$914.66 |
| 90651 |
|
101 |
91 |
$887.33 |
| 99223 |
Prolong inpt eval add15 m |
16 |
12 |
$882.87 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
25 |
24 |
$859.98 |
| 73030 |
|
61 |
50 |
$836.26 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
483 |
392 |
$799.97 |
| 82040 |
|
599 |
401 |
$733.47 |
| 3044F |
|
2,173 |
1,529 |
$730.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
17 |
16 |
$695.67 |
| 3077F |
|
3,822 |
3,223 |
$690.00 |
| 73130 |
|
41 |
38 |
$685.65 |
| 86705 |
|
105 |
66 |
$629.70 |
| 82746 |
|
191 |
141 |
$600.31 |
| 84134 |
|
176 |
126 |
$595.86 |
| 90710 |
|
653 |
610 |
$589.25 |
| 99490 |
Ccm add 20min |
75 |
66 |
$580.77 |
| 3075F |
|
3,003 |
2,654 |
$570.00 |
| 73630 |
|
53 |
36 |
$563.04 |
| 97014 |
|
84 |
27 |
$541.66 |
| 73564 |
|
27 |
25 |
$514.50 |
| 99441 |
|
36 |
31 |
$511.62 |
| 11100 |
|
12 |
12 |
$494.06 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
14 |
13 |
$493.25 |
| 99406 |
|
78 |
67 |
$485.72 |
| 85610 |
|
422 |
240 |
$454.88 |
| 90633 |
|
2,464 |
2,202 |
$425.24 |
| 99442 |
|
13 |
12 |
$399.19 |
| 90648 |
|
6,354 |
5,671 |
$397.11 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
126 |
105 |
$397.10 |
| 85027 |
|
235 |
172 |
$395.96 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
180 |
137 |
$370.58 |
| 80305 |
|
69 |
48 |
$370.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
678 |
536 |
$332.88 |
| 86140 |
|
247 |
182 |
$304.01 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
17 |
16 |
$298.29 |
| 87640 |
|
94 |
53 |
$267.74 |
| 87641 |
|
94 |
53 |
$267.74 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
53 |
41 |
$265.20 |
| 94060 |
|
15 |
14 |
$245.92 |
| 73502 |
|
14 |
12 |
$245.04 |
| 94729 |
|
13 |
12 |
$235.35 |
| 3080F |
|
1,154 |
1,011 |
$220.00 |
| 93228 |
|
16 |
13 |
$215.31 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$196.38 |
| 90661 |
|
241 |
236 |
$194.05 |
| 93922 |
|
15 |
12 |
$167.95 |
| 99407 |
|
23 |
13 |
$148.98 |
| 90672 |
|
28 |
27 |
$122.36 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
25 |
13 |
$119.38 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
36 |
12 |
$116.79 |
| 83540 |
|
160 |
115 |
$84.41 |
| 3061F |
|
1,322 |
909 |
$54.00 |
| 80076 |
|
33 |
27 |
$51.90 |
| G0008 |
Administration of influenza virus vaccine |
312 |
280 |
$29.77 |
| 82565 |
|
14 |
12 |
$28.29 |
| 84520 |
|
14 |
12 |
$21.66 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
62 |
25 |
$11.21 |
| 1159F |
|
9,091 |
7,263 |
$10.00 |
| 1125F |
|
1,124 |
911 |
$0.00 |
| 90716 |
|
609 |
525 |
$0.00 |
| 3048F |
|
2,352 |
1,608 |
$0.00 |
| 99000 |
|
1,711 |
1,200 |
$0.00 |
| 3049F |
|
156 |
131 |
$0.00 |
| 4050F |
|
1,206 |
992 |
$0.00 |
| 1170F |
|
84 |
63 |
$0.00 |
| 91301 |
|
74 |
66 |
$0.00 |
| 1126F |
|
20 |
15 |
$0.00 |
| 90696 |
|
29 |
29 |
$0.00 |
| 3060F |
|
16 |
12 |
$0.00 |
| 1160F |
|
6,607 |
5,441 |
$0.00 |
| 90734 |
|
41 |
40 |
$0.00 |
| 90707 |
|
642 |
546 |
$0.00 |
| 3050F |
|
119 |
84 |
$0.00 |
| 90700 |
|
369 |
331 |
$0.00 |
| 1158F |
|
21 |
13 |
$0.00 |
| 90685 |
|
103 |
99 |
$0.00 |