| Code | Description | Claims | Beneficiaries | Total Paid |
| G9012 |
Other specified case management service not elsewhere classified |
3,406 |
1,854 |
$220K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
13,005 |
9,044 |
$199K |
| 0516 |
|
11,915 |
11,156 |
$190K |
| 99205 |
Prolong outpt/office vis |
871 |
835 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,206 |
9,775 |
$86K |
| 0510 |
|
3,707 |
3,342 |
$60K |
| 99221 |
|
2,440 |
2,207 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,307 |
7,869 |
$52K |
| 99215 |
Prolong outpt/office vis |
853 |
824 |
$47K |
| 0760 |
|
1,732 |
1,611 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,799 |
4,673 |
$23K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
673 |
655 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,339 |
8,113 |
$14K |
| 82274 |
|
3,459 |
3,393 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,274 |
3,232 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,677 |
1,648 |
$10K |
| 80053 |
Comprehensive metabolic panel |
12,322 |
11,608 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
897 |
883 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,304 |
3,209 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
794 |
756 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,270 |
3,176 |
$8K |
| 99442 |
|
3,821 |
3,697 |
$8K |
| 90750 |
|
518 |
517 |
$7K |
| 80061 |
Lipid panel |
10,371 |
10,120 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
853 |
848 |
$7K |
| 92250 |
|
838 |
836 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,180 |
1,165 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
425 |
417 |
$6K |
| 92083 |
|
283 |
283 |
$6K |
| 87522 |
Neg quan hep c or qual rna |
2,341 |
2,265 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
11,834 |
11,534 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
119 |
119 |
$4K |
| 92134 |
|
1,126 |
1,111 |
$4K |
| 86480 |
|
1,461 |
1,429 |
$4K |
| 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 |
463 |
442 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
623 |
584 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
76 |
71 |
$4K |
| 92557 |
|
81 |
81 |
$3K |
| 99441 |
|
2,278 |
2,178 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,530 |
2,477 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,332 |
3,194 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,209 |
1,192 |
$3K |
| 99199 |
Unlisted special service, procedure or report |
182 |
172 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
543 |
504 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,681 |
7,102 |
$3K |
| 86703 |
|
3,386 |
3,307 |
$2K |
| 20610 |
|
409 |
387 |
$2K |
| 86780 |
|
2,697 |
2,619 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,864 |
1,790 |
$2K |
| 88187 |
|
716 |
697 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
24,271 |
21,824 |
$2K |
| 80074 |
|
549 |
537 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,613 |
1,628 |
$1K |
| 99443 |
|
943 |
909 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
95 |
88 |
$1K |
| 84153 |
|
577 |
557 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
142 |
141 |
$1K |
| 85027 |
|
3,084 |
2,932 |
$1K |
| 92227 |
|
577 |
567 |
$1K |
| 82043 |
|
3,799 |
3,702 |
$1K |
| 76830 |
Ultrasound, transvaginal |
159 |
156 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
161 |
157 |
$969.21 |
| 90715 |
|
275 |
275 |
$880.23 |
| 76642 |
|
89 |
89 |
$866.58 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
12 |
12 |
$830.25 |
| 87340 |
|
1,522 |
1,490 |
$781.63 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
39 |
38 |
$713.15 |
| 87536 |
|
239 |
234 |
$674.68 |
| 82540 |
|
3,798 |
3,701 |
$634.89 |
| 84439 |
|
1,200 |
1,159 |
$582.65 |
| 80305 |
|
578 |
570 |
$578.34 |
| 90651 |
|
103 |
103 |
$576.68 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
110 |
107 |
$573.79 |
| 98966 |
|
681 |
614 |
$520.74 |
| 82985 |
|
687 |
665 |
$499.22 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,455 |
1,377 |
$467.97 |
| 81001 |
|
1,732 |
1,660 |
$461.38 |
| 85610 |
|
2,069 |
1,750 |
$457.28 |
| 86706 |
|
960 |
937 |
$439.55 |
| 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 |
443 |
424 |
$417.50 |
| 82607 |
|
518 |
500 |
$417.11 |
| 82728 |
|
555 |
543 |
$415.48 |
| 80422 |
|
44 |
37 |
$380.45 |
| 71046 |
Radiologic examination, chest; 2 views |
234 |
233 |
$367.23 |
| 81003 |
|
785 |
757 |
$352.07 |
| 83540 |
|
525 |
517 |
$330.36 |
| 90686 |
|
513 |
510 |
$321.70 |
| 87338 |
|
286 |
277 |
$301.83 |
| 83550 |
|
449 |
445 |
$294.20 |
| 97010 |
|
432 |
301 |
$291.08 |
| 90677 |
|
260 |
259 |
$285.30 |
| 97161 |
|
370 |
367 |
$277.36 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
398 |
376 |
$269.02 |
| 92551 |
|
162 |
161 |
$248.91 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
256 |
184 |
$227.25 |
| 84481 |
|
188 |
180 |
$207.03 |
| 98960 |
|
66 |
56 |
$199.17 |
| 76536 |
|
13 |
13 |
$182.16 |
| 86592 |
|
732 |
714 |
$174.63 |
| 86141 |
|
261 |
252 |
$165.66 |
| 86705 |
|
432 |
410 |
$162.78 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
42 |
42 |
$161.09 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
101 |
101 |
$154.40 |
| 88142 |
|
185 |
185 |
$123.89 |
| 80076 |
|
209 |
197 |
$119.06 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
73 |
52 |
$109.95 |
| 94760 |
|
25 |
25 |
$94.68 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
133 |
130 |
$90.69 |
| 0124A |
|
16 |
15 |
$80.00 |
| 73630 |
|
46 |
43 |
$78.97 |
| 92133 |
|
30 |
30 |
$77.54 |
| 90674 |
|
136 |
136 |
$72.74 |
| 85652 |
|
504 |
486 |
$67.70 |
| 76857 |
|
12 |
12 |
$62.63 |
| 82746 |
|
113 |
108 |
$61.47 |
| 99606 |
|
26 |
24 |
$60.00 |
| 87210 |
|
285 |
281 |
$51.93 |
| 73562 |
|
12 |
12 |
$51.21 |
| 84146 |
|
35 |
29 |
$50.82 |
| 4450F |
|
1,025 |
991 |
$50.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
655 |
652 |
$44.21 |
| 86850 |
|
170 |
162 |
$43.04 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$40.63 |
| 99173 |
|
291 |
285 |
$40.30 |
| 82565 |
|
70 |
67 |
$38.54 |
| 86300 |
|
60 |
57 |
$36.82 |
| 81025 |
|
25 |
25 |
$36.13 |
| 77080 |
|
62 |
59 |
$33.93 |
| 83721 |
|
78 |
77 |
$33.04 |
| 86708 |
|
80 |
79 |
$32.15 |
| 85007 |
|
179 |
162 |
$30.54 |
| 86901 |
|
172 |
163 |
$26.23 |
| 77081 |
|
60 |
58 |
$24.85 |
| 87186 |
|
70 |
68 |
$22.41 |
| 84100 |
|
204 |
199 |
$21.42 |
| 85730 |
|
162 |
158 |
$21.00 |
| 84550 |
|
69 |
64 |
$20.90 |
| 86900 |
|
172 |
163 |
$20.71 |
| 86039 |
|
12 |
12 |
$19.64 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
66 |
63 |
$16.83 |
| 95851 |
|
14 |
12 |
$14.71 |
| 83735 |
|
307 |
286 |
$11.86 |
| 86593 |
|
82 |
78 |
$11.65 |
| 81000 |
|
354 |
318 |
$6.80 |
| 82248 |
|
13 |
12 |
$4.37 |
| 2021F |
|
262 |
259 |
$0.00 |
| 3046F |
|
299 |
297 |
$0.00 |
| 77062 |
|
888 |
888 |
$0.00 |
| 3078F |
|
2,876 |
2,588 |
$0.00 |
| 3077F |
|
808 |
730 |
$0.00 |
| 98968 |
|
162 |
138 |
$0.00 |
| 3051F |
|
280 |
277 |
$0.00 |
| 84403 |
|
31 |
26 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$0.00 |
| 90653 |
|
23 |
23 |
$0.00 |
| 99201 |
|
120 |
119 |
$0.00 |
| 73030 |
|
20 |
19 |
$0.00 |
| 92015 |
Determination of refractive state |
31 |
31 |
$0.00 |
| 73130 |
|
17 |
17 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 91300 |
|
230 |
226 |
$0.00 |
| 11100 |
|
15 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 3052F |
|
175 |
174 |
$0.00 |
| 85008 |
|
52 |
52 |
$0.00 |
| 97165 |
|
40 |
40 |
$0.00 |
| 3080F |
|
282 |
271 |
$0.00 |
| 3079F |
|
729 |
699 |
$0.00 |
| 87088 |
|
170 |
163 |
$0.00 |
| 1111F |
|
981 |
885 |
$0.00 |
| 3044F |
|
1,343 |
1,331 |
$0.00 |
| 1220F |
|
258 |
257 |
$0.00 |
| 3075F |
|
753 |
727 |
$0.00 |
| 3074F |
|
2,230 |
2,068 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
28 |
$0.00 |
| 98967 |
|
96 |
89 |
$0.00 |
| 99607 |
|
54 |
48 |
$0.00 |
| 92567 |
|
48 |
48 |
$0.00 |
| 99024 |
|
45 |
34 |
$0.00 |
| 82962 |
|
70 |
66 |
$0.00 |
| 97162 |
|
14 |
14 |
$0.00 |
| 73564 |
|
12 |
12 |
$0.00 |
| 90656 |
|
212 |
212 |
$0.00 |