| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,164 |
28,178 |
$1.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,185 |
20,040 |
$1.53M |
| 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 |
1,976 |
1,915 |
$155K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,387 |
1,372 |
$155K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,133 |
4,063 |
$120K |
| 99215 |
Prolong outpt/office vis |
788 |
694 |
$102K |
| X5622 |
|
1,916 |
1,879 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
691 |
679 |
$50K |
| 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 |
1,729 |
1,675 |
$40K |
| 36415 |
Collection of venous blood by venipuncture |
12,899 |
11,575 |
$38K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
6,051 |
5,953 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
453 |
449 |
$35K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,047 |
1,014 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
340 |
333 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
280 |
271 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
807 |
772 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,895 |
1,848 |
$23K |
| 92015 |
Determination of refractive state |
1,740 |
1,704 |
$21K |
| 92551 |
|
2,663 |
2,634 |
$19K |
| 90686 |
|
3,590 |
3,517 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,390 |
2,189 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
160 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
141 |
137 |
$10K |
| 99188 |
|
1,028 |
1,017 |
$8K |
| 80061 |
Lipid panel |
760 |
752 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
883 |
863 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
324 |
309 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
385 |
384 |
$6K |
| 80053 |
Comprehensive metabolic panel |
630 |
594 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
119 |
111 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
198 |
197 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
669 |
639 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
494 |
481 |
$4K |
| 99417 |
Prolong home eval add 15m |
75 |
68 |
$4K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
19 |
19 |
$3K |
| 99173 |
|
2,364 |
2,335 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
27 |
25 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
67 |
65 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
53 |
52 |
$2K |
| 90656 |
|
130 |
130 |
$1K |
| 90670 |
|
145 |
140 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90651 |
|
74 |
74 |
$1K |
| 96127 |
|
251 |
247 |
$937.91 |
| 0004A |
|
41 |
36 |
$868.28 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
93 |
88 |
$712.95 |
| 87081 |
|
226 |
219 |
$698.37 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
66 |
$686.04 |
| 81001 |
|
240 |
222 |
$685.66 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
120 |
119 |
$657.92 |
| 99442 |
|
63 |
59 |
$636.29 |
| 0001A |
|
15 |
15 |
$598.78 |
| G0008 |
Administration of influenza virus vaccine |
177 |
177 |
$561.20 |
| V2020 |
Frames, purchases |
16 |
12 |
$514.63 |
| 90480 |
|
28 |
28 |
$435.05 |
| 87210 |
|
53 |
52 |
$293.20 |
| 86803 |
|
12 |
12 |
$134.85 |
| 93793 |
|
18 |
12 |
$133.60 |
| 99177 |
|
29 |
29 |
$126.00 |
| 36416 |
|
60 |
51 |
$113.82 |
| 85018 |
|
28 |
27 |
$63.17 |
| 90647 |
|
26 |
25 |
$37.80 |
| 90734 |
|
39 |
37 |
$0.00 |
| 90633 |
|
16 |
15 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |