| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59,165 |
51,495 |
$4.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,238 |
62,624 |
$3.54M |
| 99215 |
Prolong outpt/office vis |
8,018 |
7,306 |
$874K |
| X5622 |
|
5,522 |
5,236 |
$425K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,617 |
9,367 |
$318K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,283 |
3,219 |
$257K |
| 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 |
3,238 |
3,142 |
$253K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,111 |
3,035 |
$215K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,595 |
3,417 |
$211K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,950 |
1,893 |
$178K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
14,936 |
14,685 |
$175K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,376 |
1,477 |
$147K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,520 |
1,459 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,834 |
2,758 |
$140K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,013 |
1,986 |
$138K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,019 |
3,912 |
$138K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,648 |
3,489 |
$135K |
| 99233 |
Prolong inpt eval add15 m |
1,172 |
348 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,436 |
1,415 |
$107K |
| 36415 |
Collection of venous blood by venipuncture |
29,734 |
26,535 |
$93K |
| V2020 |
Frames, purchases |
3,063 |
2,595 |
$80K |
| 92015 |
Determination of refractive state |
6,631 |
6,479 |
$79K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,012 |
2,933 |
$68K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,321 |
1,285 |
$65K |
| 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 |
2,765 |
2,687 |
$64K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,194 |
4,007 |
$63K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
720 |
679 |
$47K |
| 99223 |
Prolong inpt eval add15 m |
253 |
240 |
$47K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,056 |
1,063 |
$47K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,058 |
1,018 |
$38K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,046 |
1,006 |
$37K |
| 92551 |
|
6,504 |
6,342 |
$35K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
215 |
210 |
$32K |
| 80061 |
Lipid panel |
2,658 |
2,599 |
$32K |
| 99188 |
|
2,736 |
2,713 |
$31K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
539 |
519 |
$31K |
| 90686 |
|
5,850 |
5,699 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,526 |
4,231 |
$30K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
1,115 |
604 |
$28K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
387 |
363 |
$28K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
982 |
957 |
$28K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,742 |
1,691 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
1,274 |
1,125 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,937 |
2,865 |
$24K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
311 |
302 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,178 |
2,594 |
$21K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,793 |
2,667 |
$20K |
| 80053 |
Comprehensive metabolic panel |
2,132 |
2,030 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
292 |
111 |
$17K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
891 |
371 |
$17K |
| 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 |
582 |
564 |
$16K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,907 |
1,788 |
$15K |
| 98940 |
|
733 |
408 |
$13K |
| 20610 |
|
407 |
336 |
$13K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,317 |
623 |
$13K |
| 92341 |
|
503 |
488 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
411 |
404 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,658 |
1,649 |
$11K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
232 |
208 |
$11K |
| 90832 |
Psychotherapy, 30 minutes with patient |
225 |
183 |
$11K |
| 90715 |
|
782 |
769 |
$11K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
447 |
430 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
367 |
208 |
$9K |
| 99177 |
|
1,398 |
1,361 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
726 |
690 |
$8K |
| 87481 |
|
226 |
218 |
$8K |
| 86780 |
|
577 |
552 |
$8K |
| 90651 |
|
665 |
657 |
$8K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
83 |
80 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
94 |
93 |
$7K |
| 92567 |
|
699 |
652 |
$7K |
| 96127 |
|
1,677 |
1,659 |
$6K |
| 81001 |
|
2,015 |
1,887 |
$6K |
| 92557 |
|
257 |
231 |
$6K |
| 86803 |
|
394 |
384 |
$6K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
163 |
160 |
$6K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
158 |
155 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
257 |
247 |
$5K |
| 93793 |
|
723 |
399 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
331 |
324 |
$5K |
| 82607 |
|
315 |
306 |
$5K |
| 81025 |
|
517 |
496 |
$5K |
| 0012A |
|
172 |
172 |
$4K |
| 99173 |
|
5,494 |
5,365 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
103 |
102 |
$4K |
| 73562 |
|
161 |
124 |
$4K |
| 73630 |
|
192 |
151 |
$4K |
| 90750 |
|
27 |
24 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
40 |
25 |
$4K |
| 80050 |
General health panel |
79 |
77 |
$3K |
| 87210 |
|
613 |
576 |
$3K |
| 81514 |
|
16 |
13 |
$3K |
| 87081 |
|
597 |
564 |
$3K |
| 0011A |
|
180 |
180 |
$3K |
| 0064A |
|
81 |
79 |
$2K |
| 99243 |
|
27 |
25 |
$2K |
| 90670 |
|
1,786 |
1,759 |
$2K |
| 85018 |
|
983 |
954 |
$2K |
| 82728 |
|
153 |
149 |
$2K |
| 99495 |
|
14 |
14 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
581 |
577 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
489 |
448 |
$2K |
| 84439 |
|
202 |
202 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
28 |
24 |
$2K |
| 86140 |
|
330 |
314 |
$2K |
| 85027 |
|
259 |
247 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
14 |
12 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
27 |
$1K |
| 99000 |
|
281 |
264 |
$1K |
| 99407 |
|
65 |
65 |
$1K |
| 90653 |
|
42 |
40 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
51 |
14 |
$1K |
| 99442 |
|
195 |
179 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
56 |
27 |
$988.00 |
| 72100 |
|
47 |
39 |
$940.28 |
| 59025 |
Fetal non-stress test |
64 |
38 |
$843.04 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
84 |
79 |
$836.56 |
| 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) |
76 |
65 |
$793.25 |
| 87186 |
|
92 |
81 |
$793.19 |
| 87340 |
|
78 |
76 |
$777.43 |
| 84702 |
|
50 |
44 |
$755.76 |
| 90716 |
|
740 |
731 |
$728.54 |
| 90656 |
|
68 |
68 |
$698.00 |
| 36416 |
|
153 |
148 |
$646.73 |
| 87807 |
|
45 |
42 |
$583.92 |
| 99443 |
|
83 |
72 |
$545.20 |
| 87150 |
|
15 |
13 |
$527.89 |
| 0054A |
|
13 |
12 |
$510.36 |
| 85610 |
|
124 |
84 |
$505.14 |
| 73560 |
|
31 |
28 |
$495.40 |
| 73030 |
|
17 |
13 |
$401.06 |
| 90707 |
|
620 |
613 |
$340.85 |
| 99441 |
|
92 |
83 |
$339.37 |
| 73610 |
|
14 |
12 |
$330.09 |
| 83655 |
|
12 |
12 |
$325.44 |
| 86618 |
|
14 |
14 |
$283.78 |
| 86850 |
|
25 |
25 |
$230.01 |
| 90480 |
|
12 |
12 |
$208.17 |
| 81003 |
|
196 |
189 |
$188.43 |
| 90688 |
|
44 |
41 |
$171.82 |
| 87077 |
|
18 |
15 |
$163.43 |
| 90734 |
|
527 |
525 |
$137.23 |
| 87088 |
|
15 |
13 |
$129.45 |
| 82043 |
|
12 |
12 |
$74.16 |
| 86901 |
|
24 |
24 |
$73.60 |
| 86900 |
|
24 |
24 |
$73.60 |
| 82248 |
|
13 |
12 |
$66.94 |
| 83540 |
|
13 |
12 |
$63.75 |
| 85652 |
|
12 |
12 |
$38.52 |
| 90672 |
|
83 |
78 |
$28.00 |
| 99459 |
|
36 |
36 |
$13.92 |
| 90647 |
|
1,259 |
1,218 |
$0.00 |
| 90723 |
|
1,306 |
1,255 |
$0.00 |
| 90696 |
|
103 |
100 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
78 |
73 |
$0.00 |
| 90677 |
|
38 |
38 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 90633 |
|
952 |
924 |
$0.00 |
| 90681 |
|
502 |
475 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
93 |
86 |
$0.00 |
| 90700 |
|
83 |
83 |
$0.00 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
14 |
12 |
$0.00 |