| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,737 |
30,578 |
$2.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,944 |
21,502 |
$1.15M |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
22,370 |
21,972 |
$968K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,188 |
6,105 |
$438K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28,448 |
27,741 |
$365K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,521 |
6,310 |
$364K |
| X5622 |
|
8,180 |
8,051 |
$311K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13,714 |
13,451 |
$247K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,421 |
3,383 |
$242K |
| 36415 |
Collection of venous blood by venipuncture |
36,264 |
33,630 |
$139K |
| 99188 |
|
12,791 |
12,595 |
$128K |
| 99215 |
Prolong outpt/office vis |
1,170 |
1,120 |
$121K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,970 |
1,340 |
$121K |
| 91320 |
|
1,366 |
1,334 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,239 |
1,221 |
$93K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,882 |
10,550 |
$91K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
4,979 |
4,351 |
$85K |
| 80061 |
Lipid panel |
6,210 |
6,052 |
$76K |
| 90480 |
|
2,357 |
2,330 |
$68K |
| 90686 |
|
12,406 |
12,171 |
$64K |
| 92551 |
|
9,851 |
9,721 |
$62K |
| 80053 |
Comprehensive metabolic panel |
6,028 |
5,834 |
$56K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
638 |
622 |
$53K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,504 |
3,404 |
$52K |
| 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 |
600 |
581 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,357 |
6,885 |
$45K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,400 |
1,358 |
$42K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,588 |
1,568 |
$42K |
| 90682 |
|
876 |
853 |
$40K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,286 |
1,255 |
$39K |
| 85027 |
|
6,719 |
6,447 |
$38K |
| 90677 |
|
388 |
377 |
$35K |
| 96127 |
|
7,196 |
7,071 |
$27K |
| 90473 |
|
2,123 |
2,105 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
268 |
266 |
$26K |
| 90715 |
|
1,792 |
1,748 |
$26K |
| 90651 |
|
1,331 |
1,308 |
$25K |
| 0124A |
|
638 |
598 |
$22K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
449 |
390 |
$22K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
356 |
354 |
$22K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,896 |
2,781 |
$22K |
| 90662 |
|
540 |
524 |
$22K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
767 |
738 |
$18K |
| 81025 |
|
2,440 |
2,305 |
$16K |
| 86803 |
|
1,162 |
1,132 |
$16K |
| 99000 |
|
940 |
922 |
$16K |
| 99173 |
|
10,390 |
10,254 |
$15K |
| 99442 |
|
466 |
321 |
$15K |
| 90670 |
|
4,351 |
4,283 |
$14K |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
578 |
570 |
$14K |
| 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 |
569 |
550 |
$14K |
| 81003 |
|
7,606 |
5,663 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
281 |
281 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
387 |
349 |
$12K |
| 0054A |
|
284 |
283 |
$12K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
169 |
166 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
122 |
92 |
$11K |
| 83655 |
|
941 |
931 |
$10K |
| 86780 |
|
838 |
802 |
$10K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
260 |
255 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
178 |
135 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,486 |
1,421 |
$9K |
| 0071A |
|
214 |
209 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,248 |
1,191 |
$8K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
386 |
381 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
877 |
818 |
$7K |
| 90750 |
|
48 |
48 |
$7K |
| 85018 |
|
3,203 |
3,132 |
$7K |
| 0072A |
|
165 |
163 |
$7K |
| 99443 |
|
149 |
86 |
$6K |
| 90656 |
|
1,176 |
1,170 |
$6K |
| 0064A |
|
161 |
159 |
$6K |
| 0004A |
|
153 |
152 |
$6K |
| 90785 |
|
540 |
359 |
$6K |
| 90746 |
|
80 |
79 |
$5K |
| 82728 |
|
368 |
363 |
$5K |
| 0001A |
|
160 |
159 |
$5K |
| 99460 |
|
118 |
111 |
$4K |
| 82043 |
|
814 |
803 |
$4K |
| 87210 |
|
981 |
960 |
$4K |
| 90732 |
|
37 |
37 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
50 |
$4K |
| 87340 |
|
395 |
375 |
$4K |
| 83721 |
|
485 |
476 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
286 |
263 |
$3K |
| 90691 |
|
34 |
34 |
$3K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
85 |
80 |
$3K |
| 90461 |
|
97 |
97 |
$3K |
| 96161 |
|
1,637 |
1,606 |
$3K |
| 86481 |
|
29 |
29 |
$3K |
| 81001 |
|
1,029 |
982 |
$3K |
| 99397 |
|
26 |
26 |
$3K |
| 82570 |
|
647 |
638 |
$3K |
| 0002A |
|
98 |
98 |
$2K |
| 90673 |
|
36 |
36 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
362 |
176 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
209 |
203 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
15 |
$2K |
| 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 |
70 |
69 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
44 |
$2K |
| 0031A |
|
156 |
89 |
$2K |
| 86762 |
|
137 |
122 |
$2K |
| 0011A |
|
38 |
37 |
$2K |
| 0121A |
|
38 |
36 |
$2K |
| 84460 |
|
283 |
279 |
$1K |
| 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) |
599 |
587 |
$1K |
| 90716 |
|
1,277 |
1,273 |
$1K |
| 82607 |
|
90 |
89 |
$1K |
| 90688 |
|
349 |
347 |
$1K |
| 36416 |
|
424 |
367 |
$1K |
| 83550 |
|
147 |
143 |
$1K |
| 99441 |
|
97 |
55 |
$1K |
| 86850 |
|
136 |
122 |
$1K |
| 0052A |
|
24 |
24 |
$1K |
| 90734 |
|
735 |
720 |
$930.51 |
| 84439 |
|
91 |
89 |
$849.18 |
| 83540 |
|
130 |
129 |
$836.33 |
| 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 |
147 |
145 |
$753.32 |
| 97803 |
|
103 |
102 |
$677.95 |
| 0012A |
|
15 |
15 |
$653.70 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
12 |
$640.80 |
| 90707 |
|
1,150 |
1,148 |
$637.81 |
| 80050 |
General health panel |
12 |
12 |
$630.46 |
| 0154A |
|
15 |
15 |
$616.85 |
| 0051A |
|
14 |
14 |
$606.90 |
| 0081A |
|
15 |
15 |
$575.15 |
| 0074A |
|
12 |
12 |
$484.68 |
| 82950 |
|
111 |
110 |
$448.77 |
| 87653 |
|
12 |
12 |
$444.96 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
118 |
114 |
$444.67 |
| 86900 |
|
152 |
135 |
$369.66 |
| 86901 |
|
149 |
135 |
$366.82 |
| 87650 |
|
48 |
48 |
$353.10 |
| 87186 |
|
38 |
36 |
$317.40 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
54 |
53 |
$293.12 |
| 90710 |
|
124 |
123 |
$241.27 |
| 87338 |
|
12 |
12 |
$198.61 |
| 84466 |
|
12 |
12 |
$177.92 |
| 90723 |
|
2,618 |
2,594 |
$168.08 |
| 90633 |
|
1,844 |
1,822 |
$143.03 |
| 80076 |
|
13 |
13 |
$123.98 |
| 90680 |
|
2,220 |
2,199 |
$86.50 |
| 85610 |
|
15 |
12 |
$66.60 |
| 99606 |
|
74 |
54 |
$59.84 |
| 90696 |
|
363 |
362 |
$57.01 |
| 90648 |
|
3,720 |
3,674 |
$45.73 |
| 99607 |
|
193 |
98 |
$42.24 |
| 99462 |
|
20 |
14 |
$37.13 |
| 98967 |
|
33 |
25 |
$28.87 |
| 91312 |
|
133 |
128 |
$0.06 |
| 90619 |
|
46 |
46 |
$0.00 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
14 |
14 |
$0.00 |
| 90697 |
|
70 |
66 |
$0.00 |
| 91319 |
|
64 |
64 |
$0.00 |
| 91317 |
|
12 |
12 |
$0.00 |
| 91303 |
|
134 |
67 |
$0.00 |
| 91318 |
|
29 |
29 |
$0.00 |
| 90685 |
|
639 |
629 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
40 |
$0.00 |
| 91300 |
|
40 |
40 |
$0.00 |
| 86480 |
|
13 |
12 |
$0.00 |
| 90700 |
|
349 |
349 |
$0.00 |
| 98968 |
|
14 |
13 |
$0.00 |
| 82947 |
|
13 |
12 |
$0.00 |