| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,312 |
25,320 |
$1.96M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,956 |
16,383 |
$822K |
| 99215 |
Prolong outpt/office vis |
5,832 |
5,456 |
$725K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,128 |
2,088 |
$170K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,110 |
4,036 |
$126K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,870 |
1,233 |
$123K |
| 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 |
1,393 |
1,349 |
$113K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,294 |
1,255 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,208 |
1,196 |
$85K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
986 |
841 |
$81K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
874 |
845 |
$80K |
| X5622 |
|
1,956 |
1,884 |
$73K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
598 |
582 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
881 |
857 |
$55K |
| 92015 |
Determination of refractive state |
4,023 |
3,921 |
$47K |
| 36415 |
Collection of venous blood by venipuncture |
16,000 |
14,593 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,802 |
1,786 |
$43K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
6,409 |
6,309 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
543 |
538 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,785 |
2,712 |
$33K |
| 99417 |
Prolong home eval add 15m |
461 |
441 |
$29K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
847 |
815 |
$26K |
| 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 |
1,105 |
1,077 |
$26K |
| 80061 |
Lipid panel |
2,062 |
2,017 |
$25K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,610 |
1,564 |
$24K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
724 |
695 |
$23K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
211 |
201 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
617 |
587 |
$22K |
| 97810 |
|
886 |
374 |
$22K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
803 |
783 |
$20K |
| 90686 |
|
3,290 |
3,232 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,287 |
2,235 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
235 |
229 |
$20K |
| 80053 |
Comprehensive metabolic panel |
1,974 |
1,905 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
581 |
477 |
$19K |
| 97811 |
|
885 |
374 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
755 |
721 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,865 |
1,775 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,641 |
2,479 |
$16K |
| 92551 |
|
2,690 |
2,656 |
$15K |
| V2020 |
Frames, purchases |
611 |
528 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
338 |
330 |
$12K |
| 99188 |
|
1,536 |
1,521 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
183 |
180 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
84 |
82 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
117 |
110 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
631 |
572 |
$9K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
122 |
119 |
$8K |
| 92567 |
|
730 |
697 |
$8K |
| 97803 |
|
180 |
164 |
$8K |
| 81514 |
|
31 |
31 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
917 |
874 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
129 |
123 |
$7K |
| 0064A |
|
182 |
176 |
$6K |
| 0002A |
|
227 |
227 |
$6K |
| 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 |
248 |
237 |
$6K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
470 |
289 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
772 |
742 |
$5K |
| 0001A |
|
247 |
245 |
$5K |
| 82728 |
|
408 |
403 |
$5K |
| 86003 |
|
74 |
71 |
$5K |
| 92341 |
|
164 |
163 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
287 |
273 |
$5K |
| 87481 |
|
134 |
130 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
187 |
104 |
$4K |
| 92557 |
|
175 |
169 |
$4K |
| 81001 |
|
1,600 |
1,512 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
110 |
107 |
$4K |
| 80050 |
General health panel |
68 |
68 |
$3K |
| 99243 |
|
39 |
38 |
$3K |
| 82607 |
|
188 |
187 |
$3K |
| 87081 |
|
975 |
928 |
$3K |
| 85027 |
|
428 |
418 |
$3K |
| 85018 |
|
1,333 |
1,289 |
$3K |
| 86780 |
|
201 |
197 |
$2K |
| 90715 |
|
184 |
180 |
$2K |
| 90651 |
|
98 |
98 |
$2K |
| 99173 |
|
2,314 |
2,283 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
50 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
61 |
56 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
154 |
151 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
80 |
79 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
29 |
24 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
227 |
226 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
161 |
134 |
$1K |
| 90670 |
|
528 |
519 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
162 |
162 |
$1K |
| 31575 |
|
14 |
13 |
$983.03 |
| 96127 |
|
271 |
268 |
$861.66 |
| 86803 |
|
58 |
58 |
$829.89 |
| 99242 |
|
14 |
13 |
$787.02 |
| 87660 |
|
40 |
39 |
$778.63 |
| 87510 |
|
40 |
39 |
$778.63 |
| 87480 |
|
40 |
39 |
$778.63 |
| 0012A |
|
33 |
33 |
$762.26 |
| 81025 |
|
189 |
179 |
$729.81 |
| 90656 |
|
109 |
109 |
$664.46 |
| 36416 |
|
245 |
232 |
$618.82 |
| 90653 |
|
30 |
29 |
$616.00 |
| 99177 |
|
172 |
171 |
$612.29 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
13 |
$575.03 |
| 93000 |
|
58 |
57 |
$568.10 |
| 94010 |
|
30 |
27 |
$526.07 |
| 87150 |
|
12 |
12 |
$449.34 |
| 0011A |
|
37 |
37 |
$433.38 |
| 90480 |
|
14 |
14 |
$342.88 |
| 82947 |
|
56 |
51 |
$220.44 |
| 92587 |
|
14 |
13 |
$179.40 |
| 83540 |
|
26 |
25 |
$176.58 |
| 87210 |
|
58 |
52 |
$162.76 |
| 99000 |
|
76 |
68 |
$150.00 |
| 90716 |
|
70 |
68 |
$144.72 |
| 86140 |
|
26 |
26 |
$132.78 |
| 83550 |
|
13 |
12 |
$121.12 |
| 90691 |
|
12 |
12 |
$116.93 |
| 82043 |
|
12 |
12 |
$74.60 |
| 99459 |
|
25 |
25 |
$56.68 |
| 99442 |
|
16 |
14 |
$47.74 |
| 85652 |
|
15 |
15 |
$37.15 |
| 81003 |
|
87 |
85 |
$29.57 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,030 |
921 |
$0.50 |
| 90734 |
|
45 |
45 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |
| 90707 |
|
55 |
53 |
$0.00 |
| 91300 |
|
32 |
29 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$0.00 |
| 84439 |
|
16 |
15 |
$0.00 |
| 90723 |
|
198 |
194 |
$0.00 |
| 90647 |
|
127 |
122 |
$0.00 |
| 90677 |
|
51 |
51 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$0.00 |