| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
410 |
406 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,076 |
9,012 |
$34K |
| 96156 |
|
1,516 |
1,514 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,942 |
1,940 |
$30K |
| 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 |
343 |
277 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,118 |
2,012 |
$25K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
485 |
468 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,085 |
1,083 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,308 |
1,308 |
$18K |
| 99215 |
Prolong outpt/office vis |
203 |
195 |
$18K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
465 |
458 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
1,066 |
1,048 |
$13K |
| 92552 |
|
1,723 |
1,723 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
130 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
103 |
96 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
399 |
391 |
$5K |
| 99205 |
Prolong outpt/office vis |
30 |
30 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
254 |
253 |
$4K |
| V2020 |
Frames, purchases |
238 |
238 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
178 |
177 |
$4K |
| 80053 |
Comprehensive metabolic panel |
515 |
503 |
$4K |
| 80061 |
Lipid panel |
674 |
665 |
$3K |
| 90658 |
|
1,183 |
1,181 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
104 |
103 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
65 |
65 |
$3K |
| 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 |
118 |
84 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
4,003 |
3,986 |
$3K |
| 92015 |
Determination of refractive state |
457 |
455 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
612 |
588 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
314 |
312 |
$2K |
| 92551 |
|
2,405 |
2,402 |
$2K |
| 85018 |
|
3,451 |
3,448 |
$2K |
| 90670 |
|
537 |
534 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
245 |
242 |
$1K |
| 90688 |
|
550 |
545 |
$1K |
| 90651 |
|
449 |
447 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,718 |
1,617 |
$1K |
| 90734 |
|
502 |
502 |
$1K |
| 90633 |
|
356 |
356 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$1K |
| 81000 |
|
1,234 |
1,227 |
$1K |
| 81001 |
|
303 |
295 |
$969.11 |
| 90686 |
|
633 |
630 |
$950.89 |
| 96150 |
|
171 |
171 |
$861.42 |
| 99383 |
|
42 |
42 |
$827.71 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
63 |
55 |
$774.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
66 |
63 |
$756.34 |
| 90698 |
|
263 |
261 |
$716.40 |
| 97802 |
|
1,358 |
1,355 |
$707.98 |
| 90700 |
|
270 |
270 |
$687.60 |
| 90715 |
|
254 |
254 |
$635.00 |
| 99384 |
|
30 |
30 |
$584.97 |
| 92081 |
|
3,804 |
3,801 |
$579.92 |
| 90680 |
|
203 |
201 |
$571.88 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
96 |
95 |
$555.37 |
| 83655 |
|
102 |
102 |
$545.32 |
| 90707 |
|
212 |
212 |
$500.40 |
| 90716 |
|
226 |
226 |
$500.40 |
| 84439 |
|
74 |
72 |
$425.28 |
| 90620 |
|
240 |
240 |
$406.80 |
| 73610 |
|
12 |
12 |
$385.54 |
| 90648 |
|
116 |
116 |
$349.20 |
| J3490 |
Unclassified drugs |
52 |
15 |
$329.97 |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
37 |
$314.27 |
| 82785 |
|
27 |
27 |
$301.29 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,125 |
1,122 |
$289.84 |
| 87070 |
|
37 |
37 |
$283.48 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
97 |
94 |
$268.11 |
| 90672 |
|
86 |
85 |
$266.40 |
| 90744 |
|
74 |
73 |
$230.40 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
19 |
18 |
$185.18 |
| 81025 |
|
36 |
34 |
$176.82 |
| 85027 |
|
103 |
100 |
$157.80 |
| 86580 |
|
205 |
205 |
$135.24 |
| 87081 |
|
17 |
16 |
$131.37 |
| 81002 |
|
163 |
153 |
$121.33 |
| 99000 |
|
45 |
39 |
$113.94 |
| 90713 |
|
52 |
52 |
$97.20 |
| G9920 |
Screening performed and negative |
573 |
573 |
$87.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
12 |
$84.61 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
58 |
57 |
$71.93 |
| 90649 |
|
149 |
148 |
$64.80 |
| 90660 |
|
17 |
17 |
$61.20 |
| 90655 |
|
15 |
15 |
$54.00 |
| 90657 |
|
81 |
81 |
$54.00 |
| 82947 |
|
14 |
14 |
$40.18 |
| 94760 |
|
200 |
188 |
$33.54 |
| 86140 |
|
13 |
13 |
$32.62 |
| 99173 |
|
337 |
336 |
$23.02 |
| 99441 |
|
1,123 |
1,002 |
$10.26 |
| 86003 |
|
15 |
15 |
$6.52 |
| 97803 |
|
832 |
828 |
$0.00 |
| 90685 |
|
43 |
42 |
$0.00 |
| 99442 |
|
73 |
69 |
$0.00 |
| 96160 |
|
960 |
959 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
41 |
$0.00 |
| 99421 |
|
13 |
12 |
$0.00 |
| 99051 |
|
88 |
87 |
$0.00 |
| A4245 |
Alcohol wipes, per box |
13 |
13 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
27 |
27 |
$0.00 |
| 99188 |
|
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
77 |
77 |
$0.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
13 |
13 |
$0.00 |
| 3008F |
|
1,038 |
1,033 |
$0.00 |
| 0001A |
|
13 |
13 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
43 |
43 |
$0.00 |
| 96151 |
|
87 |
87 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
13 |
13 |
$0.00 |
| 96127 |
|
40 |
40 |
$0.00 |
| 84480 |
|
14 |
13 |
$0.00 |