| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,367 |
12,236 |
$948K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,879 |
13,743 |
$773K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,407 |
3,359 |
$270K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,384 |
2,316 |
$223K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,735 |
4,645 |
$145K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,592 |
1,581 |
$117K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,109 |
1,298 |
$116K |
| 92015 |
Determination of refractive state |
7,174 |
6,945 |
$87K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,066 |
3,039 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,116 |
1,083 |
$71K |
| X5622 |
|
2,265 |
2,192 |
$60K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
7,838 |
7,691 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
635 |
625 |
$43K |
| 36415 |
Collection of venous blood by venipuncture |
10,846 |
10,115 |
$41K |
| 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 |
515 |
498 |
$40K |
| 99215 |
Prolong outpt/office vis |
267 |
258 |
$36K |
| V2020 |
Frames, purchases |
1,195 |
1,035 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,232 |
2,180 |
$27K |
| 92551 |
|
3,222 |
3,156 |
$21K |
| 99188 |
|
2,075 |
2,054 |
$18K |
| 80061 |
Lipid panel |
1,516 |
1,497 |
$18K |
| 90686 |
|
3,149 |
3,079 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
214 |
208 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,668 |
1,631 |
$14K |
| 92341 |
|
438 |
435 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
756 |
737 |
$11K |
| 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 |
465 |
450 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
366 |
190 |
$11K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
562 |
282 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
84 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
240 |
230 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
209 |
200 |
$6K |
| 80053 |
Comprehensive metabolic panel |
554 |
544 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
684 |
664 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
584 |
581 |
$4K |
| 99173 |
|
3,000 |
2,939 |
$3K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
144 |
61 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
113 |
111 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
419 |
404 |
$3K |
| 85018 |
|
1,044 |
1,032 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
49 |
49 |
$2K |
| 90670 |
|
640 |
624 |
$1K |
| 96127 |
|
371 |
360 |
$1K |
| 0071A |
|
31 |
31 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
13 |
12 |
$1K |
| 0004A |
|
32 |
30 |
$1K |
| 36416 |
|
508 |
476 |
$1K |
| 85027 |
|
177 |
172 |
$1K |
| 92134 |
|
46 |
44 |
$1K |
| 92133 |
|
38 |
38 |
$1K |
| 82728 |
|
70 |
69 |
$949.88 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$937.34 |
| 90656 |
|
139 |
139 |
$790.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
78 |
$789.72 |
| 0054A |
|
14 |
14 |
$618.31 |
| G0008 |
Administration of influenza virus vaccine |
91 |
84 |
$598.26 |
| 92083 |
|
12 |
12 |
$581.46 |
| 86780 |
|
41 |
41 |
$558.03 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
15 |
$552.49 |
| 86803 |
|
39 |
39 |
$550.59 |
| 0072A |
|
12 |
12 |
$513.24 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
61 |
61 |
$485.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
110 |
$413.46 |
| 99177 |
|
81 |
80 |
$403.92 |
| 81001 |
|
137 |
136 |
$392.87 |
| 90715 |
|
34 |
28 |
$362.04 |
| 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 |
13 |
12 |
$361.07 |
| 90651 |
|
63 |
57 |
$214.37 |
| 90734 |
|
51 |
45 |
$198.34 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$173.73 |
| 90716 |
|
74 |
73 |
$127.63 |
| 87081 |
|
62 |
61 |
$97.67 |
| 87210 |
|
27 |
25 |
$17.54 |
| 90647 |
|
196 |
190 |
$0.00 |
| 90723 |
|
260 |
256 |
$0.00 |
| 90677 |
|
59 |
58 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90633 |
|
98 |
97 |
$0.00 |
| 90707 |
|
42 |
42 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$0.00 |
| 90681 |
|
26 |
25 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |