| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,366 |
16,322 |
$779K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,520 |
19,481 |
$706K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,580 |
3,269 |
$291K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,866 |
3,560 |
$287K |
| 87428 |
|
4,395 |
4,077 |
$247K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,621 |
11,947 |
$163K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,941 |
3,889 |
$141K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,015 |
983 |
$138K |
| 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 |
2,404 |
2,196 |
$129K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,900 |
7,499 |
$116K |
| 99233 |
Prolong inpt eval add15 m |
3,554 |
1,780 |
$107K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,610 |
2,075 |
$101K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
30,678 |
26,042 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,285 |
1,140 |
$88K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,215 |
1,970 |
$47K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,150 |
2,117 |
$45K |
| 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 |
2,001 |
1,822 |
$37K |
| 92551 |
|
5,067 |
4,668 |
$33K |
| 99223 |
Prolong inpt eval add15 m |
194 |
181 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
5,290 |
5,063 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,619 |
1,123 |
$11K |
| 90461 |
|
1,619 |
1,112 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
181 |
145 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
534 |
398 |
$8K |
| 80050 |
General health panel |
768 |
663 |
$8K |
| 99349 |
|
408 |
385 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,103 |
882 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
87 |
66 |
$6K |
| 99350 |
Prolong home eval add 15m |
304 |
277 |
$5K |
| 96127 |
|
1,727 |
1,569 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,790 |
4,642 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
551 |
466 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
534 |
450 |
$4K |
| 80061 |
Lipid panel |
11,825 |
11,540 |
$3K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
189 |
186 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
68 |
65 |
$3K |
| 87807 |
|
325 |
248 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,982 |
8,773 |
$2K |
| 0001A |
|
58 |
58 |
$2K |
| 80053 |
Comprehensive metabolic panel |
16,337 |
15,909 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
55 |
51 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,411 |
13,959 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,988 |
2,734 |
$2K |
| 96160 |
|
934 |
842 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
306 |
234 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
9,904 |
9,688 |
$1K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
15 |
13 |
$1K |
| 84439 |
|
3,031 |
2,926 |
$1K |
| 82728 |
|
1,556 |
1,485 |
$1K |
| 99490 |
Ccm add 20min |
450 |
450 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
405 |
312 |
$1K |
| 81002 |
|
830 |
672 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
187 |
165 |
$1K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
216 |
200 |
$1K |
| 87081 |
|
130 |
118 |
$966.19 |
| 0002A |
|
68 |
67 |
$954.00 |
| 87430 |
|
31 |
29 |
$943.07 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
189 |
166 |
$827.05 |
| 82607 |
|
1,747 |
1,698 |
$811.76 |
| 87481 |
|
167 |
143 |
$655.91 |
| 83550 |
|
1,479 |
1,421 |
$635.26 |
| 83540 |
|
1,545 |
1,485 |
$548.06 |
| 87186 |
|
1,210 |
1,057 |
$522.02 |
| 95816 |
|
14 |
14 |
$515.64 |
| 86803 |
|
701 |
676 |
$466.90 |
| 87480 |
|
184 |
159 |
$419.36 |
| 86780 |
|
39 |
37 |
$407.88 |
| 90686 |
|
3,948 |
3,611 |
$404.62 |
| 82043 |
|
4,103 |
4,037 |
$360.23 |
| 82570 |
|
4,047 |
3,959 |
$323.85 |
| 99443 |
|
18 |
17 |
$284.48 |
| 81001 |
|
3,462 |
3,353 |
$259.80 |
| 87070 |
|
86 |
78 |
$234.74 |
| 87077 |
|
979 |
879 |
$228.87 |
| 86140 |
|
903 |
868 |
$218.17 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,999 |
1,898 |
$203.88 |
| 83880 |
|
447 |
433 |
$163.80 |
| 85027 |
|
176 |
158 |
$150.66 |
| 82746 |
|
203 |
197 |
$121.08 |
| 86762 |
|
12 |
12 |
$120.87 |
| 87340 |
|
59 |
49 |
$115.20 |
| 90621 |
|
173 |
152 |
$107.58 |
| 81003 |
|
773 |
727 |
$106.60 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$100.12 |
| 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 |
68 |
68 |
$85.56 |
| 83655 |
|
13 |
12 |
$81.36 |
| 85652 |
|
951 |
917 |
$79.94 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
16 |
15 |
$51.33 |
| 82105 |
|
36 |
36 |
$40.87 |
| 83970 |
|
175 |
171 |
$34.68 |
| 83735 |
|
406 |
391 |
$32.94 |
| 0064U |
|
18 |
12 |
$27.42 |
| 82950 |
|
16 |
13 |
$26.58 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
242 |
239 |
$18.92 |
| 84550 |
|
451 |
442 |
$18.62 |
| 99173 |
|
5,356 |
5,024 |
$17.50 |
| 0065U |
|
15 |
14 |
$15.83 |
| 84436 |
|
196 |
191 |
$10.96 |
| 99497 |
|
126 |
104 |
$10.36 |
| 84479 |
|
180 |
176 |
$10.32 |
| 84156 |
|
103 |
102 |
$6.84 |
| 90651 |
|
425 |
411 |
$0.65 |
| 90734 |
|
231 |
216 |
$0.49 |
| 90619 |
|
147 |
134 |
$0.36 |
| 90672 |
|
30 |
25 |
$0.02 |
| 90698 |
|
112 |
104 |
$0.00 |
| 3060F |
|
179 |
173 |
$0.00 |
| 1111F |
|
1,196 |
1,120 |
$0.00 |
| 3061F |
|
380 |
364 |
$0.00 |
| 3044F |
|
5,325 |
5,139 |
$0.00 |
| 90656 |
|
135 |
126 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
65 |
65 |
$0.00 |
| 36416 |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
116 |
116 |
$0.00 |
| 80069 |
|
105 |
101 |
$0.00 |
| 84153 |
|
13 |
13 |
$0.00 |
| 4010F |
|
31 |
28 |
$0.00 |
| 82550 |
|
16 |
15 |
$0.00 |
| 1123F |
|
26 |
26 |
$0.00 |
| 3725F |
|
2,277 |
2,148 |
$0.00 |
| 3046F |
|
325 |
320 |
$0.00 |
| 90670 |
|
110 |
102 |
$0.00 |
| 81513 |
|
16 |
14 |
$0.00 |
| 99051 |
|
16 |
14 |
$0.00 |
| 90662 |
|
58 |
58 |
$0.00 |
| 90682 |
|
47 |
47 |
$0.00 |
| 3062F |
|
61 |
57 |
$0.00 |
| 99358 |
Prolong nursin fac eval 15m |
12 |
12 |
$0.00 |
| 84481 |
|
27 |
27 |
$0.00 |
| 90633 |
|
16 |
14 |
$0.00 |
| 99498 |
|
17 |
12 |
$0.00 |