| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,744 |
20,282 |
$1.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,307 |
17,590 |
$1.01M |
| 99215 |
Prolong outpt/office vis |
1,160 |
1,108 |
$126K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,411 |
1,390 |
$107K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,132 |
3,077 |
$90K |
| 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 |
835 |
806 |
$64K |
| X5622 |
|
1,808 |
1,755 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
799 |
792 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
628 |
615 |
$53K |
| 36415 |
Collection of venous blood by venipuncture |
13,116 |
12,111 |
$44K |
| 90834 |
Psychotherapy, 45 minutes with patient |
551 |
402 |
$39K |
| 92015 |
Determination of refractive state |
2,590 |
2,547 |
$30K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
5,328 |
5,230 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
390 |
385 |
$26K |
| 80061 |
Lipid panel |
2,210 |
2,177 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,133 |
1,118 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,097 |
2,052 |
$24K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,423 |
1,396 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,306 |
2,253 |
$19K |
| 80053 |
Comprehensive metabolic panel |
2,048 |
2,000 |
$19K |
| 90686 |
|
2,823 |
2,747 |
$17K |
| 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 |
740 |
716 |
$17K |
| 92551 |
|
2,393 |
2,348 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
266 |
260 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,175 |
2,077 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
149 |
$11K |
| 85027 |
|
1,387 |
1,340 |
$8K |
| 99188 |
|
1,205 |
1,192 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
87 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
120 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
276 |
272 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
778 |
741 |
$6K |
| V2020 |
Frames, purchases |
229 |
193 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
222 |
220 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
192 |
190 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
534 |
470 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
101 |
100 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
537 |
513 |
$4K |
| 80050 |
General health panel |
78 |
78 |
$3K |
| 99173 |
|
2,218 |
2,175 |
$3K |
| 81001 |
|
946 |
907 |
$2K |
| 90670 |
|
228 |
228 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
169 |
$2K |
| 0011A |
|
83 |
82 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
236 |
228 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 92341 |
|
41 |
41 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
77 |
74 |
$1K |
| 90715 |
|
87 |
83 |
$1K |
| 87081 |
|
332 |
319 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
85 |
84 |
$964.04 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
40 |
39 |
$926.46 |
| 0071A |
|
23 |
23 |
$920.23 |
| 0012A |
|
40 |
40 |
$903.70 |
| 90656 |
|
52 |
52 |
$882.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
176 |
173 |
$836.19 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
27 |
25 |
$832.41 |
| 96127 |
|
233 |
225 |
$825.01 |
| 86803 |
|
53 |
52 |
$733.83 |
| 0072A |
|
18 |
18 |
$680.17 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$646.05 |
| G0008 |
Administration of influenza virus vaccine |
127 |
127 |
$566.84 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
15 |
15 |
$499.38 |
| 84550 |
|
103 |
101 |
$464.94 |
| 90651 |
|
44 |
43 |
$461.87 |
| 0004A |
|
13 |
13 |
$410.11 |
| 85018 |
|
281 |
276 |
$389.94 |
| 81025 |
|
87 |
84 |
$296.69 |
| 81003 |
|
119 |
116 |
$265.67 |
| 82043 |
|
45 |
43 |
$252.59 |
| 90716 |
|
80 |
74 |
$243.69 |
| 86780 |
|
41 |
39 |
$203.25 |
| 36416 |
|
101 |
90 |
$200.34 |
| 99177 |
|
43 |
43 |
$188.05 |
| 90723 |
|
52 |
52 |
$15.00 |
| 90647 |
|
25 |
25 |
$15.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90707 |
|
89 |
84 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
40 |
40 |
$0.00 |
| 90633 |
|
57 |
52 |
$0.00 |
| 90734 |
|
41 |
40 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$0.00 |
| 87210 |
|
14 |
14 |
$0.00 |