| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141,465 |
134,394 |
$5.17M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
120,521 |
48,510 |
$1.37M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15,051 |
14,492 |
$1.17M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,997 |
13,952 |
$1.15M |
| 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 |
14,403 |
13,112 |
$1.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,714 |
17,743 |
$937K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
7,874 |
6,436 |
$920K |
| 99050 |
|
28,995 |
28,542 |
$790K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,513 |
5,495 |
$479K |
| 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 |
11,609 |
10,542 |
$293K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,430 |
8,606 |
$250K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,346 |
2,338 |
$217K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
6,392 |
6,295 |
$191K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,900 |
7,776 |
$93K |
| 90461 |
|
27,833 |
24,318 |
$84K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
506 |
469 |
$66K |
| 99215 |
Prolong outpt/office vis |
772 |
720 |
$59K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
687 |
648 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
407 |
397 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,134 |
2,106 |
$24K |
| 99381 |
|
220 |
219 |
$18K |
| 0071A |
|
446 |
446 |
$18K |
| 0002A |
|
551 |
549 |
$18K |
| 0001A |
|
527 |
527 |
$17K |
| 0072A |
|
399 |
399 |
$17K |
| 92551 |
|
2,472 |
2,464 |
$12K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
54 |
26 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
349 |
342 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
346 |
339 |
$10K |
| 99429 |
|
559 |
558 |
$10K |
| 87800 |
|
262 |
254 |
$10K |
| 95117 |
|
1,006 |
470 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
133 |
116 |
$6K |
| 81513 |
|
66 |
63 |
$6K |
| 96160 |
|
2,106 |
2,080 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
232 |
230 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
68 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
340 |
335 |
$3K |
| 86780 |
|
241 |
233 |
$3K |
| 99383 |
|
26 |
26 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
403 |
393 |
$2K |
| 87481 |
|
132 |
63 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
188 |
173 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
66 |
63 |
$2K |
| 90686 |
|
10,620 |
10,571 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
12 |
$1K |
| 0054A |
|
31 |
31 |
$1K |
| 96380 |
|
74 |
74 |
$1K |
| 0003A |
|
31 |
31 |
$1K |
| 92567 |
|
93 |
89 |
$1K |
| 0111A |
|
25 |
25 |
$1K |
| 90480 |
|
39 |
38 |
$1K |
| 99243 |
|
12 |
12 |
$1K |
| 87340 |
|
99 |
98 |
$822.70 |
| 86803 |
|
74 |
73 |
$819.86 |
| 80053 |
Comprehensive metabolic panel |
86 |
83 |
$691.95 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
13 |
$689.85 |
| 54150 |
|
12 |
12 |
$667.20 |
| 86762 |
|
51 |
51 |
$622.43 |
| 0082A |
|
13 |
13 |
$622.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
68 |
65 |
$441.44 |
| 87653 |
|
14 |
14 |
$356.39 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
28 |
$316.60 |
| 90677 |
|
2,845 |
2,836 |
$258.35 |
| 85027 |
|
36 |
35 |
$200.31 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$200.24 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$192.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$173.56 |
| 80061 |
Lipid panel |
12 |
12 |
$140.60 |
| 90688 |
|
935 |
928 |
$112.58 |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
15 |
14 |
$78.00 |
| 87081 |
|
12 |
12 |
$64.35 |
| 85018 |
|
44 |
44 |
$60.31 |
| 90658 |
|
238 |
238 |
$33.05 |
| 81003 |
|
13 |
13 |
$25.84 |
| 0011A |
|
22 |
22 |
$16.94 |
| 90619 |
|
94 |
94 |
$0.12 |
| 90670 |
|
6,553 |
6,522 |
$0.01 |
| 90698 |
|
9,305 |
9,267 |
$0.01 |
| 90680 |
|
3,269 |
3,254 |
$0.01 |
| 90651 |
|
359 |
353 |
$0.01 |
| 90620 |
|
12 |
12 |
$0.01 |
| 3078F |
|
443 |
407 |
$0.00 |
| 99173 |
|
1,099 |
1,095 |
$0.00 |
| 90633 |
|
1,222 |
1,219 |
$0.00 |
| 90734 |
|
101 |
101 |
$0.00 |
| 90707 |
|
61 |
61 |
$0.00 |
| 90672 |
|
28 |
28 |
$0.00 |
| 90681 |
|
99 |
96 |
$0.00 |
| 90710 |
|
28 |
28 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90380 |
|
14 |
14 |
$0.00 |
| 90744 |
|
1,703 |
1,695 |
$0.00 |
| 3074F |
|
1,523 |
1,406 |
$0.00 |
| 96127 |
|
88 |
80 |
$0.00 |
| 90656 |
|
692 |
691 |
$0.00 |
| 0012A |
|
18 |
18 |
$0.00 |
| 90723 |
|
107 |
103 |
$0.00 |
| 96161 |
|
37 |
36 |
$0.00 |
| 90647 |
|
146 |
143 |
$0.00 |
| 90716 |
|
49 |
49 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90381 |
|
18 |
18 |
$0.00 |