| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,330 |
33,937 |
$3.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,804 |
26,616 |
$1.87M |
| J2357 |
Injection, omalizumab, 5 mg |
809 |
476 |
$826K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
14,919 |
14,506 |
$664K |
| 99215 |
Prolong outpt/office vis |
3,061 |
2,838 |
$470K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24,476 |
23,484 |
$350K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,804 |
2,764 |
$263K |
| X5622 |
|
7,291 |
5,772 |
$207K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
636 |
431 |
$205K |
| 97810 |
|
4,613 |
2,666 |
$199K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,296 |
2,286 |
$198K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,005 |
2,906 |
$189K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
12,043 |
10,086 |
$188K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,186 |
2,092 |
$188K |
| 95117 |
|
17,721 |
8,215 |
$184K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,620 |
1,614 |
$156K |
| 97811 |
|
4,566 |
2,640 |
$151K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,988 |
7,720 |
$146K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,459 |
2,777 |
$140K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
807 |
786 |
$134K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,185 |
1,134 |
$119K |
| 36415 |
Collection of venous blood by venipuncture |
34,241 |
30,909 |
$114K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
5,573 |
3,207 |
$98K |
| 92551 |
|
8,859 |
8,714 |
$92K |
| 96127 |
|
12,853 |
12,556 |
$90K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,004 |
8,759 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,995 |
1,942 |
$82K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,385 |
1,880 |
$74K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
364 |
355 |
$68K |
| 90686 |
|
12,768 |
12,460 |
$68K |
| 0002A |
|
1,365 |
1,341 |
$60K |
| 0001A |
|
1,569 |
1,525 |
$59K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
615 |
580 |
$57K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,498 |
1,450 |
$55K |
| 91320 |
|
486 |
459 |
$44K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
2,064 |
2,052 |
$39K |
| 99188 |
|
3,675 |
3,554 |
$37K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,759 |
1,672 |
$37K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,756 |
1,672 |
$37K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
118 |
114 |
$35K |
| 97535 |
Self-care/home management training, each 15 minutes |
1,054 |
880 |
$32K |
| 90480 |
|
860 |
830 |
$32K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,145 |
707 |
$31K |
| 90715 |
|
1,989 |
1,926 |
$25K |
| 90651 |
|
1,422 |
1,385 |
$24K |
| 85027 |
|
3,902 |
3,813 |
$24K |
| 90834 |
Psychotherapy, 45 minutes with patient |
171 |
127 |
$23K |
| 99173 |
|
8,790 |
8,647 |
$21K |
| 97162 |
|
239 |
235 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,651 |
2,208 |
$19K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,218 |
1,202 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,526 |
2,398 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
270 |
237 |
$16K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
994 |
978 |
$16K |
| 98940 |
|
1,674 |
1,059 |
$16K |
| 0054A |
|
346 |
339 |
$16K |
| 99442 |
|
296 |
247 |
$16K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
341 |
206 |
$15K |
| 80061 |
Lipid panel |
1,939 |
1,896 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,486 |
1,434 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
828 |
790 |
$14K |
| 0124A |
|
397 |
387 |
$14K |
| 99443 |
|
173 |
162 |
$14K |
| 94375 |
|
258 |
249 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
120 |
119 |
$13K |
| 0012A |
|
276 |
271 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,561 |
2,430 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
215 |
211 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
511 |
482 |
$11K |
| 0011A |
|
231 |
230 |
$11K |
| 81025 |
|
1,362 |
1,321 |
$10K |
| 87430 |
|
967 |
942 |
$9K |
| 95012 |
|
309 |
303 |
$8K |
| 0004A |
|
236 |
231 |
$8K |
| 0072A |
|
168 |
167 |
$8K |
| 0071A |
|
167 |
163 |
$7K |
| 0064A |
|
174 |
173 |
$7K |
| 80076 |
|
1,360 |
1,315 |
$6K |
| 87210 |
|
1,451 |
1,391 |
$6K |
| 90473 |
|
471 |
465 |
$6K |
| 81003 |
|
2,589 |
2,440 |
$5K |
| 90677 |
|
112 |
103 |
$5K |
| 90656 |
|
687 |
673 |
$5K |
| 90670 |
|
1,810 |
1,780 |
$5K |
| 99385 |
|
79 |
76 |
$5K |
| 90662 |
|
153 |
147 |
$5K |
| 97813 |
|
53 |
37 |
$4K |
| 99384 |
|
25 |
25 |
$4K |
| 87081 |
|
960 |
943 |
$4K |
| 86803 |
|
316 |
312 |
$3K |
| 97814 |
|
53 |
37 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
460 |
431 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
37 |
24 |
$3K |
| 97802 |
|
30 |
26 |
$3K |
| 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 |
246 |
244 |
$3K |
| 99441 |
|
99 |
68 |
$3K |
| 87088 |
|
318 |
300 |
$3K |
| 81001 |
|
1,067 |
985 |
$3K |
| 0052A |
|
52 |
51 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
29 |
29 |
$3K |
| 85018 |
|
1,191 |
1,185 |
$3K |
| 0134A |
|
69 |
67 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
12 |
$3K |
| 86592 |
|
957 |
939 |
$2K |
| 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 |
67 |
67 |
$2K |
| 87340 |
|
336 |
331 |
$2K |
| 99383 |
|
28 |
27 |
$2K |
| 90750 |
|
12 |
12 |
$2K |
| 83655 |
|
328 |
322 |
$2K |
| 0051A |
|
26 |
26 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
234 |
224 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
236 |
225 |
$1K |
| 90734 |
|
874 |
857 |
$1K |
| 87077 |
|
155 |
152 |
$1K |
| 90716 |
|
251 |
244 |
$1K |
| 94060 |
|
12 |
12 |
$1K |
| 99421 |
|
585 |
571 |
$985.67 |
| 86481 |
|
13 |
12 |
$899.19 |
| 99422 |
|
94 |
90 |
$772.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
73 |
$720.35 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
12 |
12 |
$715.50 |
| 86706 |
|
82 |
80 |
$637.82 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
418 |
398 |
$610.32 |
| 99607 |
|
17 |
14 |
$602.70 |
| 90474 |
|
195 |
190 |
$567.92 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
15 |
13 |
$547.41 |
| 97803 |
|
19 |
12 |
$532.44 |
| 82728 |
|
34 |
34 |
$514.15 |
| 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) |
400 |
383 |
$512.85 |
| 36416 |
|
155 |
132 |
$457.56 |
| 82043 |
|
60 |
57 |
$280.36 |
| 82570 |
|
87 |
84 |
$264.46 |
| 84466 |
|
17 |
16 |
$245.63 |
| 83540 |
|
30 |
29 |
$221.48 |
| 82947 |
|
64 |
63 |
$207.60 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
37 |
37 |
$194.44 |
| 86762 |
|
12 |
12 |
$191.76 |
| 86787 |
|
13 |
13 |
$185.90 |
| 82950 |
|
26 |
25 |
$120.12 |
| 82948 |
|
14 |
12 |
$78.96 |
| 82248 |
|
12 |
12 |
$70.99 |
| 90672 |
|
12 |
12 |
$45.75 |
| 83789 |
|
16 |
16 |
$26.25 |
| 83721 |
|
25 |
24 |
$24.37 |
| 84460 |
|
13 |
13 |
$6.41 |
| 84450 |
|
13 |
13 |
$6.26 |
| 90647 |
|
1,258 |
1,237 |
$0.62 |
| 90723 |
|
1,207 |
1,183 |
$0.56 |
| 90633 |
|
836 |
825 |
$0.54 |
| 90680 |
|
1,019 |
1,001 |
$0.49 |
| 90710 |
|
145 |
145 |
$0.31 |
| 90696 |
|
196 |
196 |
$0.29 |
| 90707 |
|
128 |
125 |
$0.26 |
| G2061 |
Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes |
34 |
33 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |
| 99072 |
|
2,780 |
2,119 |
$0.00 |
| 91300 |
|
343 |
314 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90700 |
|
79 |
78 |
$0.00 |
| 86480 |
|
12 |
12 |
$0.00 |
| 85610 |
|
21 |
12 |
$0.00 |
| 90685 |
|
106 |
100 |
$0.00 |
| 17110 |
|
40 |
39 |
$0.00 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
15 |
13 |
$0.00 |