| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,319 |
19,709 |
$1.64M |
| 94760 |
|
12,415 |
11,572 |
$1.11M |
| 36415 |
Collection of venous blood by venipuncture |
6,091 |
5,882 |
$956K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,814 |
10,027 |
$921K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,102 |
8,498 |
$814K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
363 |
289 |
$758K |
| 99215 |
Prolong outpt/office vis |
1,182 |
1,107 |
$608K |
| 83655 |
|
4,205 |
4,127 |
$559K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,533 |
9,769 |
$509K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,034 |
6,959 |
$489K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,821 |
9,687 |
$396K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,906 |
1,873 |
$304K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,759 |
2,706 |
$261K |
| 99188 |
|
4,496 |
4,407 |
$242K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,641 |
3,617 |
$224K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,512 |
2,008 |
$193K |
| 99174 |
|
1,534 |
1,500 |
$162K |
| 85018 |
|
4,567 |
4,504 |
$67K |
| 87070 |
|
431 |
423 |
$66K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
689 |
673 |
$55K |
| 81003 |
|
1,072 |
1,046 |
$48K |
| 96127 |
|
451 |
448 |
$44K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
169 |
163 |
$37K |
| 96161 |
|
344 |
331 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
936 |
921 |
$26K |
| 87081 |
|
221 |
219 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
820 |
808 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21,280 |
21,030 |
$14K |
| 90686 |
|
8,301 |
8,227 |
$13K |
| 88720 |
|
84 |
69 |
$12K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
86 |
85 |
$11K |
| 90677 |
|
1,810 |
1,796 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
175 |
167 |
$9K |
| 85027 |
|
861 |
828 |
$9K |
| 99177 |
|
67 |
63 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
57 |
56 |
$8K |
| 90461 |
|
5,542 |
5,475 |
$8K |
| 85007 |
|
261 |
251 |
$7K |
| 80053 |
Comprehensive metabolic panel |
2,288 |
2,256 |
$6K |
| 99173 |
|
53 |
52 |
$5K |
| 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 |
1,139 |
1,118 |
$5K |
| 82247 |
|
60 |
39 |
$5K |
| 94664 |
|
83 |
81 |
$4K |
| 96160 |
|
407 |
404 |
$4K |
| 90633 |
|
4,267 |
4,212 |
$4K |
| 90670 |
|
5,646 |
5,573 |
$3K |
| 90656 |
|
1,495 |
1,491 |
$3K |
| 80061 |
Lipid panel |
3,159 |
3,089 |
$3K |
| 87077 |
|
25 |
24 |
$3K |
| 94761 |
|
107 |
102 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
42 |
40 |
$2K |
| 90696 |
|
1,901 |
1,867 |
$2K |
| 0072A |
|
62 |
62 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
291 |
286 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
49 |
49 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
445 |
434 |
$1K |
| 0071A |
|
136 |
134 |
$868.25 |
| 82728 |
|
25 |
25 |
$788.33 |
| 90651 |
|
2,581 |
2,560 |
$737.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,168 |
2,144 |
$722.86 |
| 90698 |
|
2,886 |
2,845 |
$497.28 |
| 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 |
340 |
333 |
$340.82 |
| 90619 |
|
867 |
864 |
$324.24 |
| 90715 |
|
1,177 |
1,162 |
$293.19 |
| 0001A |
|
29 |
29 |
$256.04 |
| 90680 |
|
3,975 |
3,923 |
$196.99 |
| 90647 |
|
1,278 |
1,248 |
$181.20 |
| 83540 |
|
19 |
19 |
$154.29 |
| 90621 |
|
433 |
428 |
$152.24 |
| 90707 |
|
2,039 |
2,010 |
$147.37 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$123.41 |
| 90710 |
|
1,789 |
1,754 |
$117.13 |
| 0082A |
|
13 |
13 |
$102.63 |
| 0081A |
|
33 |
33 |
$70.04 |
| 90716 |
|
2,015 |
1,991 |
$52.48 |
| 90480 |
|
160 |
160 |
$37.49 |
| 90700 |
|
492 |
483 |
$34.32 |
| 90697 |
|
2,115 |
2,100 |
$20.21 |
| 90744 |
|
1,536 |
1,517 |
$20.21 |
| 90734 |
|
1,107 |
1,092 |
$0.01 |
| 90723 |
|
1,257 |
1,234 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
41 |
$0.00 |
| 90378 |
|
275 |
208 |
$0.00 |
| 96380 |
|
42 |
42 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
26 |
26 |
$0.00 |
| 91318 |
|
43 |
43 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
48 |
47 |
$0.00 |
| 90381 |
|
22 |
22 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 82248 |
|
56 |
37 |
$0.00 |
| 84460 |
|
15 |
15 |
$0.00 |
| 80076 |
|
31 |
31 |
$0.00 |
| 90648 |
|
15 |
15 |
$0.00 |
| 84450 |
|
15 |
15 |
$0.00 |
| 84466 |
|
19 |
19 |
$0.00 |