| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167,987 |
161,141 |
$8.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
165,758 |
159,483 |
$7.12M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
43,098 |
41,521 |
$2.15M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
20,858 |
20,309 |
$1.51M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13,148 |
13,024 |
$876K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
22,290 |
21,155 |
$854K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12,530 |
12,407 |
$827K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,298 |
9,863 |
$698K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50,517 |
49,946 |
$687K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,597 |
7,556 |
$677K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
22,375 |
22,116 |
$633K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,447 |
8,367 |
$540K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,609 |
7,574 |
$521K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
46,392 |
45,379 |
$467K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,777 |
7,688 |
$429K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15,133 |
15,078 |
$406K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
42,821 |
42,177 |
$373K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,880 |
3,866 |
$303K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,734 |
4,668 |
$262K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,003 |
1,940 |
$260K |
| 84443 |
Thyroid stimulating hormone (TSH) |
16,815 |
16,696 |
$256K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,318 |
3,591 |
$244K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
3,210 |
3,204 |
$233K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21,871 |
21,638 |
$230K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,734 |
7,520 |
$225K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,733 |
5,589 |
$213K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,185 |
1,013 |
$175K |
| J0897 |
Injection, denosumab, 1 mg |
518 |
506 |
$175K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,420 |
5,292 |
$163K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18,850 |
18,770 |
$147K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,163 |
1,147 |
$143K |
| 80050 |
General health panel |
8,476 |
8,465 |
$141K |
| 99215 |
Prolong outpt/office vis |
2,291 |
2,137 |
$128K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
5,869 |
5,831 |
$127K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,662 |
1,636 |
$120K |
| 82728 |
|
8,206 |
8,144 |
$101K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,451 |
1,446 |
$93K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,083 |
12,730 |
$93K |
| 95117 |
|
12,208 |
7,384 |
$91K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
712 |
701 |
$84K |
| 99173 |
|
6,380 |
6,321 |
$82K |
| 85027 |
|
13,074 |
12,931 |
$77K |
| 86803 |
|
6,099 |
6,075 |
$76K |
| 82607 |
|
5,484 |
5,450 |
$75K |
| ATP17 |
|
6,666 |
6,660 |
$73K |
| ATP14 |
|
6,749 |
6,622 |
$72K |
| 87634 |
|
1,157 |
1,073 |
$65K |
| 90756 |
|
3,443 |
3,372 |
$65K |
| 88312 |
|
1,122 |
1,119 |
$61K |
| 93000 |
|
7,597 |
7,446 |
$55K |
| 83550 |
|
6,936 |
6,899 |
$55K |
| 84439 |
|
6,565 |
6,505 |
$54K |
| 92587 |
|
5,589 |
2,852 |
$48K |
| ATP03 |
|
6,975 |
6,956 |
$47K |
| 99423 |
|
53 |
52 |
$45K |
| 83970 |
|
1,329 |
1,321 |
$44K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,440 |
1,424 |
$43K |
| 99223 |
Prolong inpt eval add15 m |
644 |
618 |
$40K |
| 90837 |
Psychotherapy, 53 minutes with patient |
367 |
309 |
$38K |
| 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 |
373 |
368 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,962 |
2,919 |
$33K |
| ATP08 |
|
3,740 |
3,639 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
619 |
616 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
2,893 |
2,849 |
$32K |
| 92551 |
|
3,310 |
3,302 |
$32K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
3,482 |
3,243 |
$32K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,867 |
849 |
$30K |
| 99222 |
Initial hospital care, per day, moderate complexity |
570 |
559 |
$30K |
| 83721 |
|
3,346 |
3,335 |
$28K |
| 92558 |
|
2,212 |
2,143 |
$27K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
1,297 |
422 |
$27K |
| 84146 |
|
1,492 |
1,480 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,669 |
1,661 |
$26K |
| 84153 |
|
1,549 |
1,538 |
$26K |
| 0001A |
|
583 |
583 |
$26K |
| 0002A |
|
554 |
554 |
$25K |
| 87340 |
|
2,662 |
2,642 |
$25K |
| 87081 |
|
3,799 |
3,755 |
$25K |
| 92552 |
|
948 |
937 |
$23K |
| 97802 |
|
269 |
269 |
$23K |
| 90961 |
|
492 |
483 |
$22K |
| 95115 |
|
3,252 |
2,099 |
$22K |
| 96127 |
|
4,313 |
4,291 |
$21K |
| 81001 |
|
7,168 |
6,956 |
$21K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
567 |
546 |
$21K |
| 82746 |
|
1,540 |
1,533 |
$21K |
| 94760 |
|
9,963 |
9,429 |
$21K |
| ATP15 |
|
1,891 |
1,863 |
$20K |
| 82043 |
|
4,175 |
4,126 |
$20K |
| 82570 |
|
4,480 |
4,366 |
$20K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
329 |
301 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,281 |
1,104 |
$19K |
| 83540 |
|
3,158 |
3,117 |
$19K |
| 93015 |
|
535 |
527 |
$19K |
| 76536 |
|
511 |
479 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
584 |
465 |
$19K |
| 83001 |
|
1,076 |
1,069 |
$18K |
| 90834 |
Psychotherapy, 45 minutes with patient |
216 |
151 |
$18K |
| 84702 |
|
1,165 |
1,092 |
$16K |
| 99051 |
|
1,024 |
1,000 |
$16K |
| 91320 |
|
281 |
258 |
$16K |
| 80061 |
Lipid panel |
21,535 |
21,439 |
$15K |
| ATP18 |
|
1,395 |
1,395 |
$15K |
| 20610 |
|
620 |
579 |
$15K |
| 94060 |
|
780 |
594 |
$15K |
| 84480 |
|
1,117 |
1,102 |
$14K |
| 95811 |
|
312 |
311 |
$14K |
| 99188 |
|
543 |
540 |
$14K |
| 0071A |
|
287 |
287 |
$13K |
| 83735 |
|
2,238 |
2,105 |
$13K |
| 83002 |
|
779 |
774 |
$13K |
| 94729 |
|
716 |
554 |
$13K |
| 90674 |
|
782 |
778 |
$13K |
| 97803 |
|
281 |
275 |
$12K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,958 |
3,282 |
$12K |
| 90962 |
|
226 |
218 |
$12K |
| 90480 |
|
417 |
405 |
$12K |
| 83718 |
|
1,583 |
1,580 |
$12K |
| 81025 |
|
1,880 |
1,860 |
$12K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,113 |
1,064 |
$12K |
| 86706 |
|
1,175 |
1,168 |
$12K |
| 94726 |
|
681 |
525 |
$11K |
| 86140 |
|
2,374 |
2,338 |
$11K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
417 |
368 |
$11K |
| 90677 |
|
79 |
75 |
$11K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
93 |
93 |
$10K |
| 0124A |
|
354 |
348 |
$10K |
| 96401 |
|
218 |
206 |
$10K |
| 73562 |
|
656 |
481 |
$10K |
| 0072A |
|
209 |
208 |
$9K |
| 85610 |
|
2,773 |
2,110 |
$9K |
| 95251 |
|
832 |
805 |
$9K |
| 87807 |
|
843 |
833 |
$9K |
| 84703 |
|
1,332 |
1,305 |
$9K |
| 90474 |
|
674 |
666 |
$9K |
| 87210 |
|
1,935 |
1,904 |
$9K |
| 99205 |
Prolong outpt/office vis |
114 |
114 |
$8K |
| 73130 |
|
613 |
387 |
$8K |
| 85652 |
|
3,425 |
3,371 |
$8K |
| 86376 |
|
617 |
616 |
$8K |
| ATP07 |
|
959 |
930 |
$8K |
| 76830 |
Ultrasound, transvaginal |
140 |
107 |
$8K |
| 0004A |
|
191 |
191 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,124 |
1,081 |
$7K |
| 99443 |
|
678 |
593 |
$7K |
| ATP11 |
|
790 |
790 |
$7K |
| 73030 |
|
607 |
441 |
$7K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,088 |
1,068 |
$7K |
| 71271 |
|
165 |
145 |
$7K |
| 94010 |
|
458 |
299 |
$7K |
| 93296 |
|
771 |
765 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
137 |
102 |
$7K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
34 |
34 |
$7K |
| 86704 |
|
571 |
568 |
$6K |
| 99386 |
|
51 |
51 |
$6K |
| 90661 |
|
239 |
239 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
516 |
481 |
$6K |
| 86141 |
|
466 |
458 |
$6K |
| 99397 |
|
59 |
56 |
$6K |
| 76770 |
|
169 |
149 |
$6K |
| 85014 |
|
2,498 |
2,494 |
$5K |
| 99385 |
|
53 |
53 |
$5K |
| 82627 |
|
267 |
267 |
$5K |
| 73110 |
|
360 |
225 |
$5K |
| 90732 |
|
62 |
62 |
$5K |
| 93295 |
|
271 |
271 |
$5K |
| 81002 |
|
2,272 |
2,252 |
$5K |
| 90691 |
|
61 |
60 |
$5K |
| 86430 |
|
911 |
907 |
$5K |
| 99442 |
|
566 |
470 |
$5K |
| 95024 |
|
63 |
62 |
$5K |
| 20611 |
|
92 |
87 |
$4K |
| ATP10 |
|
480 |
476 |
$4K |
| 82465 |
|
1,853 |
1,849 |
$4K |
| 85007 |
|
1,290 |
1,251 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,473 |
1,369 |
$4K |
| 85730 |
|
691 |
679 |
$4K |
| 81003 |
|
1,807 |
1,781 |
$4K |
| 83690 |
|
577 |
569 |
$4K |
| 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) |
1,188 |
1,147 |
$3K |
| 93880 |
|
58 |
42 |
$3K |
| 90750 |
|
35 |
18 |
$3K |
| 99381 |
|
37 |
37 |
$3K |
| 99406 |
|
1,192 |
1,165 |
$3K |
| 88313 |
|
63 |
63 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
1,838 |
1,725 |
$3K |
| ATP06 |
|
384 |
384 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
25 |
25 |
$3K |
| 82533 |
|
211 |
204 |
$3K |
| 99221 |
|
82 |
79 |
$3K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
165 |
163 |
$3K |
| 90662 |
|
402 |
373 |
$3K |
| 85651 |
|
797 |
783 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
27 |
17 |
$3K |
| 93297 |
|
275 |
274 |
$3K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
169 |
168 |
$3K |
| 99177 |
|
698 |
683 |
$2K |
| 73630 |
|
190 |
145 |
$2K |
| 82947 |
|
1,789 |
1,780 |
$2K |
| 72100 |
|
149 |
126 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
25 |
24 |
$2K |
| 80053 |
Comprehensive metabolic panel |
16,025 |
15,697 |
$2K |
| 86762 |
|
150 |
149 |
$2K |
| 91065 |
|
68 |
31 |
$2K |
| 86800 |
|
133 |
133 |
$2K |
| 11900 |
|
53 |
52 |
$2K |
| ATP05 |
|
227 |
227 |
$2K |
| 73610 |
|
110 |
94 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
179 |
176 |
$2K |
| 93793 |
|
302 |
163 |
$1K |
| ATP04 |
|
211 |
211 |
$1K |
| 82962 |
|
2,891 |
2,837 |
$1K |
| 94727 |
|
135 |
112 |
$1K |
| 86308 |
|
289 |
288 |
$1K |
| 82784 |
|
196 |
196 |
$1K |
| ATP02 |
|
233 |
197 |
$1K |
| 93018 |
|
181 |
181 |
$1K |
| 77080 |
|
117 |
112 |
$1K |
| 90715 |
|
97 |
97 |
$1K |
| 73502 |
|
59 |
50 |
$1K |
| 82150 |
|
163 |
161 |
$985.99 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,449 |
7,256 |
$972.21 |
| 71250 |
|
33 |
33 |
$925.12 |
| 90686 |
|
18,579 |
18,427 |
$913.01 |
| 90620 |
|
97 |
92 |
$876.41 |
| 94200 |
|
104 |
81 |
$833.44 |
| 85018 |
|
331 |
331 |
$807.88 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$803.09 |
| J2785 |
Injection, regadenoson, 0.1 mg |
12 |
12 |
$741.95 |
| 80074 |
|
17 |
17 |
$714.17 |
| 11200 |
|
12 |
12 |
$692.34 |
| 84550 |
|
905 |
890 |
$655.01 |
| 73140 |
|
36 |
27 |
$649.09 |
| 93294 |
|
80 |
80 |
$608.73 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
25 |
14 |
$586.88 |
| 90651 |
|
667 |
663 |
$581.72 |
| 82948 |
|
418 |
406 |
$565.94 |
| 0052A |
|
12 |
12 |
$550.44 |
| 98926 |
|
17 |
15 |
$490.60 |
| 0054A |
|
15 |
15 |
$452.83 |
| 99441 |
|
37 |
28 |
$414.15 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
63 |
59 |
$404.04 |
| 93227 |
|
25 |
25 |
$353.97 |
| 94375 |
|
22 |
12 |
$328.39 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
114 |
110 |
$309.52 |
| 80076 |
|
4,234 |
4,125 |
$306.10 |
| 93016 |
|
24 |
24 |
$264.14 |
| 98968 |
|
47 |
45 |
$262.63 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
336 |
331 |
$252.64 |
| 86708 |
|
24 |
24 |
$251.06 |
| 84436 |
|
40 |
40 |
$237.27 |
| 82248 |
|
927 |
814 |
$231.41 |
| 84144 |
|
12 |
12 |
$228.36 |
| 99493 |
|
12 |
12 |
$214.46 |
| 90670 |
|
5,206 |
5,165 |
$211.90 |
| 82550 |
|
156 |
153 |
$196.90 |
| 90658 |
|
14 |
14 |
$179.87 |
| 84100 |
|
426 |
379 |
$176.01 |
| 86765 |
|
12 |
12 |
$159.48 |
| 73080 |
|
15 |
13 |
$143.36 |
| ATP13 |
|
13 |
13 |
$141.57 |
| 29530 |
|
12 |
12 |
$134.69 |
| 84460 |
|
1,775 |
1,768 |
$123.17 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
76 |
76 |
$118.44 |
| 36415 |
Collection of venous blood by venipuncture |
27,565 |
26,043 |
$115.78 |
| 83014 |
|
13 |
13 |
$108.54 |
| G0009 |
Administration of pneumococcal vaccine |
42 |
41 |
$94.20 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
76 |
76 |
$94.11 |
| 82977 |
|
65 |
63 |
$85.38 |
| 91312 |
|
321 |
317 |
$75.01 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
45 |
45 |
$65.04 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
25 |
25 |
$56.90 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
186 |
184 |
$56.27 |
| 93270 |
|
12 |
12 |
$52.99 |
| 82247 |
|
78 |
52 |
$49.00 |
| 87220 |
|
12 |
12 |
$45.24 |
| 84450 |
|
1,712 |
1,705 |
$44.76 |
| 82270 |
|
12 |
12 |
$39.59 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
29 |
29 |
$28.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$20.28 |
| 90734 |
|
374 |
371 |
$16.58 |
| Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
13 |
12 |
$15.39 |
| 96160 |
|
177 |
172 |
$6.20 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$1.36 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
84 |
79 |
$0.24 |
| Q0247 |
Injection, sotrovimab, 500 mg |
36 |
36 |
$0.08 |
| 90698 |
|
3,651 |
3,637 |
$0.00 |
| 90696 |
|
52 |
51 |
$0.00 |
| 80069 |
|
38 |
38 |
$0.00 |
| 90697 |
|
214 |
206 |
$0.00 |
| 91307 |
|
797 |
772 |
$0.00 |
| 90744 |
|
602 |
601 |
$0.00 |
| 91305 |
|
171 |
163 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
26 |
26 |
$0.00 |
| 90716 |
|
51 |
50 |
$0.00 |
| 90688 |
|
25 |
25 |
$0.00 |
| 90633 |
|
1,188 |
1,181 |
$0.00 |
| 91300 |
|
1,332 |
1,148 |
$0.00 |
| 90710 |
|
26 |
25 |
$0.00 |
| 90681 |
|
519 |
512 |
$0.00 |
| 90685 |
|
128 |
128 |
$0.00 |
| 90707 |
|
46 |
45 |
$0.00 |
| 91308 |
|
13 |
13 |
$0.00 |