| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,085 |
15,954 |
$1.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,692 |
18,750 |
$1.04M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,886 |
2,666 |
$119K |
| 99215 |
Prolong outpt/office vis |
912 |
840 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,795 |
1,704 |
$109K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
4,518 |
4,318 |
$106K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,670 |
1,594 |
$103K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
859 |
822 |
$92K |
| 90837 |
Psychotherapy, 53 minutes with patient |
994 |
600 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,459 |
1,339 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
973 |
920 |
$64K |
| 98929 |
|
967 |
876 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,862 |
1,730 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,647 |
5,327 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
450 |
413 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,426 |
2,336 |
$30K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
187 |
181 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
615 |
597 |
$25K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
416 |
199 |
$20K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
230 |
148 |
$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 |
222 |
214 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
3,895 |
3,416 |
$14K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
165 |
155 |
$14K |
| 99205 |
Prolong outpt/office vis |
78 |
75 |
$13K |
| 99188 |
|
1,965 |
1,882 |
$13K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,191 |
1,893 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
125 |
118 |
$11K |
| 20610 |
|
172 |
157 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
249 |
242 |
$8K |
| 90686 |
|
1,314 |
1,241 |
$7K |
| 90715 |
|
537 |
460 |
$7K |
| 90682 |
|
89 |
88 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
769 |
638 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
54 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
465 |
345 |
$3K |
| 0001A |
|
66 |
66 |
$3K |
| 96127 |
|
637 |
492 |
$2K |
| 93793 |
|
298 |
140 |
$2K |
| 90670 |
|
1,133 |
1,031 |
$2K |
| 92551 |
|
1,435 |
1,399 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
34 |
27 |
$2K |
| 0002A |
|
43 |
43 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
95 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
77 |
$1K |
| 90461 |
|
222 |
198 |
$1K |
| 99417 |
Prolong home eval add 15m |
30 |
27 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
13 |
$974.09 |
| 0004A |
|
24 |
24 |
$935.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
95 |
92 |
$841.12 |
| 87400 |
|
32 |
29 |
$805.05 |
| 80061 |
Lipid panel |
55 |
53 |
$747.75 |
| 0072A |
|
18 |
18 |
$733.14 |
| 99442 |
|
27 |
18 |
$573.24 |
| 80053 |
Comprehensive metabolic panel |
61 |
52 |
$531.29 |
| 90651 |
|
99 |
87 |
$521.89 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
454 |
431 |
$517.84 |
| 99173 |
|
1,455 |
1,414 |
$494.55 |
| 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) |
180 |
167 |
$438.69 |
| 92557 |
|
14 |
14 |
$412.14 |
| 99406 |
|
36 |
36 |
$359.47 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
27 |
25 |
$299.31 |
| 87210 |
|
53 |
52 |
$298.67 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$228.48 |
| 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 |
15 |
13 |
$188.79 |
| 81001 |
|
72 |
69 |
$186.83 |
| 93000 |
|
13 |
13 |
$168.19 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
14 |
$135.32 |
| 85027 |
|
18 |
15 |
$105.44 |
| 90474 |
|
29 |
24 |
$44.00 |
| 90647 |
|
892 |
741 |
$27.04 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$21.33 |
| 91300 |
|
208 |
192 |
$0.65 |
| 91307 |
|
26 |
21 |
$0.26 |
| 90633 |
|
758 |
650 |
$0.00 |
| X5622 |
|
1,277 |
1,241 |
$0.00 |
| 90681 |
|
152 |
142 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
13 |
$0.00 |
| 90710 |
|
293 |
263 |
$0.00 |
| 90685 |
|
164 |
104 |
$0.00 |
| 90734 |
|
159 |
115 |
$0.00 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90723 |
|
875 |
711 |
$0.00 |
| 90696 |
|
79 |
69 |
$0.00 |