| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,084 |
39,306 |
$1.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,708 |
21,327 |
$1.26M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,382 |
8,833 |
$699K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
10,483 |
8,595 |
$692K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,343 |
8,262 |
$639K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44,639 |
16,849 |
$474K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,239 |
3,110 |
$370K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,181 |
4,115 |
$334K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,685 |
2,263 |
$182K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,890 |
2,670 |
$172K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,642 |
4,204 |
$152K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,717 |
1,417 |
$149K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,622 |
1,588 |
$143K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,404 |
1,371 |
$139K |
| 76818 |
|
1,371 |
1,009 |
$108K |
| 76825 |
|
500 |
470 |
$93K |
| 59025 |
Fetal non-stress test |
2,860 |
1,341 |
$89K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,252 |
3,115 |
$85K |
| 99245 |
|
655 |
644 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,604 |
3,438 |
$80K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,229 |
5,913 |
$80K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
823 |
799 |
$77K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
626 |
595 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,281 |
1,218 |
$64K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
117 |
114 |
$63K |
| 80053 |
Comprehensive metabolic panel |
8,062 |
5,916 |
$60K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,444 |
5,707 |
$59K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,096 |
960 |
$59K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,284 |
3,030 |
$59K |
| 76801 |
|
1,077 |
1,036 |
$50K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,902 |
8,262 |
$49K |
| 90461 |
|
12,504 |
10,866 |
$41K |
| 87390 |
|
2,167 |
2,087 |
$39K |
| 76820 |
|
1,244 |
403 |
$36K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
948 |
931 |
$36K |
| 99242 |
|
618 |
602 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
387 |
371 |
$29K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,014 |
918 |
$28K |
| 99243 |
|
414 |
400 |
$28K |
| 84134 |
|
2,570 |
1,829 |
$27K |
| 76827 |
|
501 |
471 |
$25K |
| 86703 |
|
2,188 |
2,106 |
$22K |
| 87800 |
|
612 |
602 |
$22K |
| 54150 |
|
299 |
295 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,770 |
759 |
$19K |
| 76813 |
|
259 |
257 |
$19K |
| 99460 |
|
237 |
223 |
$17K |
| S8301 |
Infection control supplies, not otherwise specified |
2,804 |
2,176 |
$17K |
| 88142 |
|
1,162 |
1,129 |
$15K |
| 88307 |
|
251 |
242 |
$15K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,090 |
1,033 |
$14K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
82 |
77 |
$13K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
168 |
166 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
436 |
421 |
$12K |
| 59430 |
|
135 |
135 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
240 |
231 |
$12K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,365 |
957 |
$11K |
| 59514 |
|
31 |
28 |
$11K |
| 99310 |
Prolong nursin fac eval 15m |
901 |
517 |
$10K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,358 |
2,189 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
993 |
930 |
$10K |
| 87428 |
|
138 |
138 |
$10K |
| 88304 |
|
1,031 |
1,004 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,720 |
1,673 |
$9K |
| 84702 |
|
701 |
553 |
$8K |
| 93325 |
|
501 |
470 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
574 |
496 |
$6K |
| 87070 |
|
798 |
756 |
$6K |
| 82607 |
|
768 |
727 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
576 |
538 |
$5K |
| 99215 |
Prolong outpt/office vis |
86 |
83 |
$5K |
| 99241 |
|
144 |
134 |
$5K |
| 80164 |
|
736 |
704 |
$4K |
| 90715 |
|
247 |
246 |
$4K |
| 80061 |
Lipid panel |
1,563 |
1,512 |
$4K |
| 99381 |
|
51 |
51 |
$4K |
| 99307 |
|
1,237 |
1,188 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,636 |
1,594 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$4K |
| 81025 |
|
487 |
459 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,195 |
1,858 |
$3K |
| 99383 |
|
32 |
32 |
$3K |
| 82950 |
|
760 |
739 |
$3K |
| 87081 |
|
505 |
483 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
293 |
286 |
$3K |
| 99382 |
|
26 |
26 |
$2K |
| 86803 |
|
216 |
216 |
$2K |
| 80050 |
General health panel |
67 |
65 |
$2K |
| 96160 |
|
986 |
940 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
147 |
24 |
$2K |
| 87420 |
|
142 |
138 |
$2K |
| 87480 |
|
128 |
122 |
$1K |
| 83690 |
|
270 |
220 |
$1K |
| 88342 |
|
65 |
58 |
$1K |
| 82150 |
|
270 |
220 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
58 |
25 |
$1K |
| 87631 |
|
14 |
13 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
103 |
85 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
103 |
85 |
$1K |
| 81001 |
|
1,134 |
1,048 |
$1K |
| 0002A |
|
38 |
37 |
$1K |
| 88302 |
|
163 |
162 |
$967.24 |
| 90671 |
|
2,574 |
2,552 |
$921.90 |
| 85027 |
|
229 |
194 |
$909.57 |
| 84436 |
|
146 |
133 |
$727.02 |
| 82951 |
|
65 |
63 |
$633.16 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14 |
12 |
$626.40 |
| 90686 |
|
3,466 |
3,422 |
$615.03 |
| 87186 |
|
360 |
316 |
$609.21 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
14 |
$491.37 |
| 87660 |
|
100 |
97 |
$488.64 |
| 0001A |
|
14 |
14 |
$480.00 |
| 73630 |
|
14 |
12 |
$345.92 |
| 81003 |
|
233 |
222 |
$340.90 |
| 90619 |
|
180 |
174 |
$336.29 |
| 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 |
80 |
40 |
$305.02 |
| 36415 |
Collection of venous blood by venipuncture |
5,125 |
3,547 |
$289.12 |
| 90656 |
|
515 |
514 |
$253.29 |
| 58301 |
|
21 |
18 |
$240.00 |
| 90670 |
|
4,179 |
4,126 |
$227.66 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
16 |
13 |
$213.71 |
| 80076 |
|
93 |
88 |
$187.45 |
| 85018 |
|
84 |
83 |
$137.31 |
| 92567 |
|
14 |
14 |
$131.83 |
| 87510 |
|
102 |
97 |
$119.56 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
24 |
12 |
$115.26 |
| 85014 |
|
59 |
58 |
$113.43 |
| 90723 |
|
5,158 |
5,103 |
$110.00 |
| 84439 |
|
14 |
14 |
$91.72 |
| 87088 |
|
69 |
64 |
$89.29 |
| 83540 |
|
17 |
17 |
$88.21 |
| 82945 |
|
27 |
26 |
$84.20 |
| 82952 |
|
26 |
26 |
$83.85 |
| 86140 |
|
24 |
24 |
$74.00 |
| 95115 |
|
18 |
12 |
$70.20 |
| 82043 |
|
12 |
12 |
$61.96 |
| 82570 |
|
13 |
13 |
$55.54 |
| 99442 |
|
65 |
65 |
$33.27 |
| 81002 |
|
14 |
12 |
$27.30 |
| 85652 |
|
17 |
15 |
$22.73 |
| 87077 |
|
14 |
13 |
$22.59 |
| 86592 |
|
17 |
14 |
$22.54 |
| 94760 |
|
33 |
32 |
$19.98 |
| 85610 |
|
74 |
28 |
$13.59 |
| 86900 |
|
108 |
98 |
$12.55 |
| 86901 |
|
108 |
98 |
$12.55 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
1,325 |
855 |
$11.10 |
| 90677 |
|
72 |
72 |
$0.15 |
| 90651 |
|
314 |
309 |
$0.02 |
| 90707 |
|
1,998 |
1,969 |
$0.00 |
| 1160F |
|
13,029 |
10,864 |
$0.00 |
| 1159F |
|
13,032 |
10,867 |
$0.00 |
| 3078F |
|
17,489 |
13,283 |
$0.00 |
| 90633 |
|
2,725 |
2,694 |
$0.00 |
| 90700 |
|
366 |
364 |
$0.00 |
| 90734 |
|
45 |
45 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
57 |
28 |
$0.00 |
| 90682 |
|
12 |
12 |
$0.00 |
| 99072 |
|
15 |
15 |
$0.00 |
| 1125F |
|
837 |
786 |
$0.00 |
| 90647 |
|
5,076 |
5,029 |
$0.00 |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
4,388 |
2,962 |
$0.00 |
| 3008F |
|
17,953 |
13,640 |
$0.00 |
| 3075F |
|
1,272 |
1,009 |
$0.00 |
| 90716 |
|
2,011 |
1,982 |
$0.00 |
| 90680 |
|
4,677 |
4,633 |
$0.00 |
| 3074F |
|
18,324 |
13,980 |
$0.00 |
| 1036F |
|
16,244 |
11,625 |
$0.00 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
3,895 |
2,442 |
$0.00 |
| 3079F |
|
2,031 |
1,749 |
$0.00 |
| 99443 |
|
18 |
18 |
$0.00 |
| 1126F |
|
186 |
122 |
$0.00 |
| 90696 |
|
122 |
118 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 3044F |
|
148 |
145 |
$0.00 |
| 99070 |
|
13 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
83 |
41 |
$0.00 |
| 99305 |
|
33 |
33 |
$0.00 |
| 86850 |
|
59 |
56 |
$0.00 |
| 1034F |
|
14 |
13 |
$0.00 |
| 1035F |
|
38 |
26 |
$0.00 |