| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,083 |
36,998 |
$2.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,007 |
30,066 |
$1.71M |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
20,561 |
20,168 |
$890K |
| 99215 |
Prolong outpt/office vis |
5,997 |
5,697 |
$622K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,507 |
7,424 |
$552K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30,557 |
29,980 |
$419K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,852 |
6,590 |
$396K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,827 |
3,789 |
$281K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,199 |
8,051 |
$252K |
| X5622 |
|
7,330 |
7,192 |
$242K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,160 |
9,972 |
$166K |
| 36415 |
Collection of venous blood by venipuncture |
39,797 |
36,896 |
$163K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,040 |
2,006 |
$160K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,229 |
1,220 |
$121K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
5,428 |
5,037 |
$114K |
| 99188 |
|
11,080 |
10,962 |
$106K |
| 90461 |
|
4,610 |
4,542 |
$103K |
| 91320 |
|
1,117 |
1,095 |
$94K |
| 90686 |
|
14,516 |
14,318 |
$90K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,927 |
9,764 |
$89K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,040 |
1,030 |
$88K |
| 80061 |
Lipid panel |
5,957 |
5,848 |
$77K |
| 90682 |
|
1,307 |
1,284 |
$69K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,023 |
1,004 |
$65K |
| 92551 |
|
9,529 |
9,413 |
$63K |
| 90651 |
|
1,874 |
1,839 |
$60K |
| 90480 |
|
1,814 |
1,792 |
$56K |
| 90662 |
|
1,221 |
1,195 |
$54K |
| 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 |
655 |
645 |
$53K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
908 |
897 |
$49K |
| 80053 |
Comprehensive metabolic panel |
4,767 |
4,666 |
$47K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
41 |
41 |
$46K |
| 90670 |
|
4,893 |
4,810 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,337 |
6,186 |
$44K |
| 90834 |
Psychotherapy, 45 minutes with patient |
796 |
538 |
$42K |
| 90715 |
|
2,465 |
2,408 |
$40K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
521 |
468 |
$35K |
| 90677 |
|
315 |
302 |
$34K |
| 96127 |
|
8,235 |
8,096 |
$33K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,089 |
1,079 |
$29K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
2,413 |
2,167 |
$28K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
786 |
769 |
$27K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,747 |
1,720 |
$26K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
764 |
750 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,660 |
3,524 |
$25K |
| 99000 |
|
1,291 |
1,272 |
$24K |
| 85027 |
|
3,865 |
3,770 |
$24K |
| 0012A |
|
571 |
569 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,729 |
843 |
$22K |
| 86481 |
|
199 |
197 |
$20K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,591 |
2,496 |
$20K |
| 0011A |
|
553 |
550 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,323 |
2,094 |
$19K |
| 99397 |
|
178 |
176 |
$19K |
| 0064A |
|
425 |
423 |
$17K |
| 81025 |
|
2,390 |
2,295 |
$17K |
| 90688 |
|
3,323 |
3,278 |
$16K |
| 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 |
605 |
596 |
$16K |
| 0071A |
|
376 |
351 |
$15K |
| 99173 |
|
10,079 |
9,955 |
$15K |
| 0072A |
|
365 |
358 |
$15K |
| 83655 |
|
1,141 |
1,123 |
$14K |
| 90656 |
|
1,860 |
1,856 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
319 |
305 |
$13K |
| 0054A |
|
305 |
305 |
$13K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
481 |
479 |
$12K |
| 86803 |
|
735 |
731 |
$11K |
| 90785 |
|
1,296 |
771 |
$11K |
| 99442 |
|
348 |
223 |
$10K |
| 80050 |
General health panel |
189 |
182 |
$10K |
| 0002A |
|
355 |
355 |
$10K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
401 |
401 |
$9K |
| 85018 |
|
4,029 |
3,956 |
$9K |
| 99443 |
|
176 |
125 |
$8K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
223 |
223 |
$8K |
| 90673 |
|
124 |
124 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
193 |
173 |
$8K |
| 90732 |
|
76 |
76 |
$8K |
| 0001A |
|
380 |
380 |
$8K |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
286 |
283 |
$8K |
| 99460 |
|
163 |
150 |
$7K |
| 87650 |
|
394 |
387 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,012 |
983 |
$7K |
| 86780 |
|
530 |
523 |
$7K |
| 81001 |
|
2,561 |
2,442 |
$7K |
| 0124A |
|
188 |
179 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
641 |
623 |
$6K |
| 90832 |
Psychotherapy, 30 minutes with patient |
145 |
115 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
87 |
$5K |
| 90473 |
|
465 |
461 |
$5K |
| 82043 |
|
854 |
847 |
$5K |
| 0052A |
|
111 |
110 |
$5K |
| 90691 |
|
50 |
50 |
$5K |
| 0004A |
|
118 |
116 |
$5K |
| 0031A |
|
164 |
163 |
$4K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
98 |
95 |
$4K |
| 82728 |
|
271 |
268 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
115 |
85 |
$4K |
| 90678 |
|
13 |
13 |
$3K |
| 0051A |
|
74 |
74 |
$3K |
| 87210 |
|
725 |
707 |
$3K |
| 96161 |
|
1,729 |
1,690 |
$3K |
| 0134A |
|
80 |
76 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$3K |
| 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 |
103 |
103 |
$3K |
| 82248 |
|
498 |
485 |
$2K |
| 82570 |
|
587 |
579 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
225 |
210 |
$2K |
| 87340 |
|
197 |
193 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,260 |
1,220 |
$2K |
| 83721 |
|
215 |
214 |
$2K |
| 90750 |
|
14 |
14 |
$2K |
| 81003 |
|
1,330 |
1,243 |
$2K |
| 99441 |
|
121 |
76 |
$2K |
| 36416 |
|
547 |
498 |
$2K |
| 87653 |
|
44 |
43 |
$2K |
| 90716 |
|
181 |
181 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
184 |
172 |
$1K |
| 0082A |
|
36 |
32 |
$1K |
| 86706 |
|
119 |
116 |
$1K |
| 90714 |
|
106 |
106 |
$1K |
| 90734 |
|
994 |
973 |
$1K |
| 86762 |
|
72 |
72 |
$1K |
| 0081A |
|
26 |
26 |
$1K |
| 82950 |
|
262 |
255 |
$1K |
| 98968 |
|
74 |
58 |
$985.60 |
| 86850 |
|
89 |
89 |
$917.24 |
| 90746 |
|
13 |
13 |
$876.98 |
| 86769 |
|
14 |
12 |
$843.02 |
| 86787 |
|
65 |
64 |
$842.76 |
| 86704 |
|
69 |
67 |
$826.98 |
| 90713 |
|
163 |
161 |
$800.54 |
| 90710 |
|
1,093 |
1,086 |
$732.96 |
| 86708 |
|
56 |
55 |
$648.39 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16 |
16 |
$593.28 |
| 87517 |
|
13 |
13 |
$588.38 |
| 83550 |
|
56 |
56 |
$505.39 |
| 0121A |
|
12 |
12 |
$484.12 |
| 82607 |
|
30 |
28 |
$421.44 |
| 82746 |
|
30 |
28 |
$415.47 |
| 83540 |
|
56 |
56 |
$374.41 |
| 87186 |
|
72 |
65 |
$364.99 |
| 80306 |
|
12 |
12 |
$217.32 |
| 86735 |
|
14 |
14 |
$193.20 |
| 86765 |
|
14 |
14 |
$190.50 |
| 90723 |
|
2,989 |
2,954 |
$174.08 |
| 85610 |
|
146 |
63 |
$172.05 |
| 86682 |
|
12 |
12 |
$164.88 |
| 90707 |
|
64 |
64 |
$162.26 |
| 86900 |
|
44 |
44 |
$140.44 |
| 86901 |
|
44 |
44 |
$140.44 |
| 86140 |
|
26 |
25 |
$126.01 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
25 |
25 |
$122.26 |
| 90474 |
|
12 |
12 |
$112.92 |
| 90680 |
|
2,679 |
2,645 |
$95.69 |
| 82947 |
|
24 |
24 |
$81.24 |
| 85652 |
|
29 |
28 |
$73.98 |
| 90633 |
|
2,252 |
2,229 |
$70.75 |
| 90696 |
|
599 |
595 |
$59.04 |
| 90648 |
|
4,126 |
4,073 |
$45.60 |
| 82952 |
|
15 |
14 |
$17.08 |
| 91313 |
|
16 |
15 |
$0.01 |
| 91317 |
|
24 |
24 |
$0.01 |
| 90700 |
|
471 |
462 |
$0.00 |
| 90685 |
|
689 |
680 |
$0.00 |
| 86480 |
|
13 |
13 |
$0.00 |
| 91300 |
|
166 |
166 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 99607 |
|
186 |
104 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 91318 |
|
95 |
94 |
$0.00 |
| 91303 |
|
90 |
89 |
$0.00 |
| 99606 |
|
73 |
56 |
$0.00 |
| 90619 |
|
30 |
30 |
$0.00 |
| 90697 |
|
13 |
12 |
$0.00 |