| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,828 |
9,034 |
$644K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,753 |
6,158 |
$313K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,345 |
1,310 |
$139K |
| 99215 |
Prolong outpt/office vis |
1,074 |
1,013 |
$81K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,223 |
2,170 |
$69K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,106 |
2,056 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
832 |
810 |
$57K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
746 |
719 |
$53K |
| 36415 |
Collection of venous blood by venipuncture |
13,676 |
12,149 |
$42K |
| 90834 |
Psychotherapy, 45 minutes with patient |
735 |
467 |
$33K |
| 81514 |
|
111 |
107 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,023 |
1,012 |
$25K |
| 87481 |
|
708 |
684 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
546 |
290 |
$23K |
| 86780 |
|
1,906 |
1,861 |
$23K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
624 |
603 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,082 |
2,011 |
$20K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
809 |
791 |
$18K |
| 85027 |
|
2,819 |
2,722 |
$16K |
| 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 |
642 |
622 |
$14K |
| 81025 |
|
1,907 |
1,797 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
165 |
164 |
$12K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
602 |
589 |
$12K |
| 90686 |
|
1,549 |
1,514 |
$11K |
| 86803 |
|
812 |
794 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
781 |
763 |
$10K |
| X5622 |
|
1,083 |
1,055 |
$10K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,163 |
1,128 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
132 |
129 |
$7K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
802 |
767 |
$7K |
| 90715 |
|
406 |
403 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
84 |
84 |
$7K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,600 |
1,574 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
844 |
831 |
$6K |
| 80061 |
Lipid panel |
577 |
567 |
$6K |
| 87340 |
|
527 |
513 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
39 |
39 |
$5K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
128 |
126 |
$4K |
| 87150 |
|
116 |
116 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
622 |
591 |
$4K |
| 87210 |
|
901 |
858 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
38 |
37 |
$3K |
| 99243 |
|
50 |
50 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
80 |
67 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
57 |
53 |
$3K |
| 99188 |
|
390 |
389 |
$3K |
| 76830 |
Ultrasound, transvaginal |
29 |
29 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
371 |
359 |
$3K |
| 92551 |
|
489 |
482 |
$2K |
| 17110 |
|
30 |
30 |
$2K |
| 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 |
22 |
21 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
351 |
303 |
$2K |
| 82950 |
|
526 |
518 |
$2K |
| 59025 |
Fetal non-stress test |
177 |
122 |
$2K |
| 80053 |
Comprehensive metabolic panel |
183 |
181 |
$2K |
| 81001 |
|
680 |
655 |
$2K |
| 82728 |
|
180 |
176 |
$2K |
| 87510 |
|
72 |
69 |
$1K |
| 87480 |
|
72 |
69 |
$1K |
| 87660 |
|
72 |
69 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
41 |
40 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
43 |
42 |
$1K |
| 86787 |
|
100 |
95 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 99254 |
|
12 |
12 |
$1K |
| 86850 |
|
138 |
135 |
$1K |
| 87081 |
|
279 |
277 |
$1K |
| 85018 |
|
356 |
343 |
$803.49 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
77 |
77 |
$573.26 |
| 99173 |
|
421 |
412 |
$424.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
39 |
$396.53 |
| 86762 |
|
25 |
25 |
$389.49 |
| 84702 |
|
20 |
14 |
$364.96 |
| 81003 |
|
151 |
145 |
$241.31 |
| 90670 |
|
187 |
185 |
$193.28 |
| 82607 |
|
39 |
37 |
$192.97 |
| 83655 |
|
12 |
12 |
$184.81 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
17 |
$101.46 |
| 86901 |
|
27 |
25 |
$82.16 |
| 86900 |
|
27 |
25 |
$82.16 |
| 82947 |
|
59 |
57 |
$66.81 |
| 99177 |
|
45 |
44 |
$58.06 |
| 85652 |
|
29 |
26 |
$46.31 |
| 99000 |
|
27 |
27 |
$25.00 |
| 86140 |
|
14 |
12 |
$6.64 |
| 90647 |
|
51 |
51 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$0.00 |
| 90723 |
|
50 |
50 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$0.00 |
| 84439 |
|
13 |
12 |
$0.00 |