| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,564 |
12,422 |
$1.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,333 |
10,046 |
$837K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,744 |
2,476 |
$461K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,860 |
2,423 |
$325K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,977 |
5,857 |
$189K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
3,023 |
2,210 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
930 |
802 |
$87K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,304 |
2,123 |
$67K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,150 |
5,077 |
$62K |
| 99215 |
Prolong outpt/office vis |
241 |
208 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
229 |
214 |
$29K |
| 99381 |
|
261 |
238 |
$28K |
| 99382 |
|
145 |
135 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,000 |
884 |
$22K |
| 92587 |
|
3,887 |
3,338 |
$22K |
| 99383 |
|
114 |
112 |
$21K |
| 99188 |
|
3,496 |
3,121 |
$18K |
| 90461 |
|
780 |
719 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,573 |
2,085 |
$16K |
| 99401 |
|
904 |
761 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,226 |
2,415 |
$13K |
| 92552 |
|
538 |
525 |
$12K |
| 87807 |
|
2,719 |
2,316 |
$11K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,399 |
1,091 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
843 |
739 |
$8K |
| 83655 |
|
1,838 |
1,787 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
106 |
$7K |
| 97803 |
|
672 |
507 |
$7K |
| 90671 |
|
219 |
212 |
$7K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
592 |
445 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,222 |
1,913 |
$5K |
| H0049 |
Alcohol and/or drug screening |
684 |
534 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
787 |
696 |
$4K |
| 90670 |
|
762 |
587 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
586 |
544 |
$3K |
| 85018 |
|
2,805 |
2,504 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
438 |
366 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
576 |
485 |
$1K |
| 0111A |
|
218 |
209 |
$1K |
| 99174 |
|
1,218 |
817 |
$900.73 |
| 86328 |
|
508 |
344 |
$765.21 |
| 90686 |
|
2,205 |
1,697 |
$714.59 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
254 |
140 |
$700.61 |
| 90680 |
|
789 |
688 |
$677.00 |
| 87070 |
|
572 |
258 |
$627.38 |
| 90651 |
|
147 |
134 |
$530.94 |
| 96381 |
|
34 |
34 |
$424.92 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,678 |
1,019 |
$406.92 |
| 90633 |
|
728 |
635 |
$365.49 |
| 94664 |
|
175 |
125 |
$353.03 |
| 99000 |
|
945 |
507 |
$314.19 |
| 81002 |
|
512 |
400 |
$278.96 |
| 0071A |
|
22 |
18 |
$200.00 |
| 36415 |
Collection of venous blood by venipuncture |
163 |
115 |
$185.00 |
| 87081 |
|
37 |
37 |
$182.79 |
| 96127 |
|
95 |
83 |
$129.36 |
| 92567 |
|
15 |
15 |
$86.95 |
| 90380 |
|
15 |
13 |
$80.00 |
| 90656 |
|
12 |
12 |
$76.00 |
| 94760 |
|
66 |
61 |
$65.34 |
| 90474 |
|
54 |
49 |
$60.00 |
| 0072A |
|
31 |
15 |
$40.00 |
| 90697 |
|
687 |
635 |
$35.72 |
| A7015 |
Aerosol mask, used with dme nebulizer |
43 |
38 |
$23.14 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
14 |
14 |
$20.00 |
| 87400 |
|
142 |
85 |
$18.79 |
| A4616 |
Tubing (oxygen), per foot |
44 |
39 |
$14.70 |
| 99050 |
|
17 |
17 |
$7.57 |
| 90677 |
|
195 |
182 |
$4.00 |
| 99173 |
|
178 |
163 |
$2.97 |
| G8710 |
Patient prescribed antibiotic |
148 |
130 |
$1.50 |
| 90619 |
|
12 |
12 |
$1.20 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
25 |
24 |
$0.12 |
| 91307 |
|
18 |
15 |
$0.04 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
539 |
390 |
$0.00 |
| 90716 |
|
206 |
193 |
$0.00 |
| 36416 |
|
24 |
24 |
$0.00 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
103 |
66 |
$0.00 |
| 97802 |
|
93 |
43 |
$0.00 |
| 99058 |
|
23 |
19 |
$0.00 |
| 87088 |
|
20 |
14 |
$0.00 |
| 90723 |
|
45 |
24 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
62 |
$0.00 |
| J3490 |
Unclassified drugs |
12 |
12 |
$0.00 |
| 92551 |
|
15 |
15 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24 |
24 |
$0.00 |
| 91311 |
|
195 |
185 |
$0.00 |
| 90700 |
|
28 |
26 |
$0.00 |
| 90707 |
|
53 |
51 |
$0.00 |
| 90685 |
|
33 |
32 |
$0.00 |
| 99177 |
|
14 |
12 |
$0.00 |
| 90648 |
|
149 |
118 |
$0.00 |
| 69210 |
|
43 |
16 |
$0.00 |
| 90715 |
|
33 |
26 |
$0.00 |
| 99072 |
|
203 |
87 |
$0.00 |
| 90713 |
|
74 |
67 |
$0.00 |
| 86318 |
|
14 |
13 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 99051 |
|
31 |
29 |
$0.00 |