| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,212 |
56,542 |
$3.52M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,535 |
21,945 |
$1.94M |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,765 |
3,173 |
$398K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,322 |
2,232 |
$342K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,526 |
6,336 |
$341K |
| 80053 |
Comprehensive metabolic panel |
15,104 |
13,808 |
$306K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
9,985 |
5,210 |
$296K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,771 |
5,459 |
$186K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,681 |
1,733 |
$170K |
| 76830 |
Ultrasound, transvaginal |
1,140 |
1,082 |
$161K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,312 |
4,120 |
$153K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
6,523 |
6,338 |
$152K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
3,613 |
1,865 |
$145K |
| 80061 |
Lipid panel |
7,933 |
7,690 |
$140K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,463 |
14,958 |
$126K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,620 |
1,559 |
$125K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,269 |
1,211 |
$122K |
| 71046 |
Radiologic examination, chest; 2 views |
5,493 |
5,132 |
$118K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,820 |
7,441 |
$116K |
| 73562 |
|
3,165 |
2,596 |
$113K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,546 |
5,352 |
$106K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,591 |
2,519 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,609 |
1,558 |
$103K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,773 |
1,573 |
$103K |
| 73630 |
|
3,596 |
2,991 |
$98K |
| 80050 |
General health panel |
892 |
858 |
$97K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,313 |
1,213 |
$95K |
| 36415 |
Collection of venous blood by venipuncture |
33,549 |
29,974 |
$87K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,196 |
1,145 |
$79K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,403 |
1,325 |
$77K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,184 |
2,129 |
$76K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,969 |
1,896 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,261 |
1,183 |
$72K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,888 |
5,734 |
$72K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,285 |
1,224 |
$72K |
| 73610 |
|
2,298 |
2,050 |
$70K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,661 |
4,272 |
$61K |
| 73110 |
|
1,740 |
1,425 |
$59K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,164 |
1,149 |
$56K |
| 73130 |
|
1,684 |
1,318 |
$54K |
| 90791 |
Psychiatric diagnostic evaluation |
527 |
512 |
$53K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
642 |
620 |
$52K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
683 |
650 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,332 |
1,263 |
$49K |
| 76801 |
|
468 |
429 |
$46K |
| 73030 |
|
1,687 |
1,483 |
$45K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
867 |
848 |
$43K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
343 |
303 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
630 |
606 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,617 |
1,414 |
$42K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,278 |
2,191 |
$37K |
| 92015 |
Determination of refractive state |
3,261 |
3,128 |
$37K |
| 82728 |
|
1,798 |
1,702 |
$36K |
| 86803 |
|
1,921 |
1,871 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,315 |
2,021 |
$34K |
| 82607 |
|
1,488 |
1,444 |
$33K |
| 83013 |
|
142 |
140 |
$32K |
| 73502 |
|
771 |
709 |
$32K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
956 |
868 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
853 |
779 |
$29K |
| 73140 |
|
862 |
728 |
$28K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,306 |
490 |
$22K |
| 90686 |
|
3,709 |
3,574 |
$22K |
| 76536 |
|
200 |
187 |
$22K |
| 99215 |
Prolong outpt/office vis |
272 |
242 |
$21K |
| 86780 |
|
1,398 |
1,330 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
214 |
191 |
$21K |
| 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 |
218 |
216 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
260 |
245 |
$18K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,673 |
1,573 |
$18K |
| X5622 |
|
1,077 |
1,041 |
$17K |
| 97161 |
|
381 |
359 |
$17K |
| 83550 |
|
1,738 |
1,651 |
$16K |
| 0002A |
|
486 |
478 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
265 |
236 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,561 |
1,303 |
$15K |
| 86140 |
|
2,408 |
2,224 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
175 |
152 |
$13K |
| 87340 |
|
1,228 |
1,194 |
$13K |
| 0240U |
|
85 |
82 |
$13K |
| 0001A |
|
501 |
494 |
$13K |
| 76770 |
|
178 |
174 |
$13K |
| 84702 |
|
507 |
386 |
$12K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
72 |
69 |
$12K |
| 83540 |
|
1,773 |
1,684 |
$12K |
| 17110 |
|
160 |
141 |
$11K |
| 82043 |
|
1,262 |
1,234 |
$11K |
| 74018 |
|
525 |
490 |
$11K |
| 73080 |
|
446 |
375 |
$11K |
| 80076 |
|
354 |
303 |
$11K |
| 74019 |
|
429 |
400 |
$10K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,114 |
1,051 |
$10K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
190 |
186 |
$10K |
| 90715 |
|
786 |
736 |
$10K |
| 88342 |
|
445 |
321 |
$10K |
| 87077 |
|
525 |
470 |
$9K |
| 81001 |
|
2,836 |
2,637 |
$9K |
| 90651 |
|
514 |
488 |
$9K |
| 82570 |
|
1,658 |
1,597 |
$9K |
| 83970 |
|
147 |
141 |
$8K |
| 90662 |
|
180 |
161 |
$7K |
| V2020 |
Frames, purchases |
255 |
200 |
$7K |
| 87186 |
|
519 |
484 |
$7K |
| 90670 |
|
1,104 |
1,064 |
$6K |
| 84439 |
|
786 |
735 |
$6K |
| 81025 |
|
947 |
897 |
$6K |
| 86480 |
|
53 |
45 |
$6K |
| 82746 |
|
289 |
275 |
$6K |
| 84403 |
|
157 |
151 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
123 |
123 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
385 |
343 |
$6K |
| 85027 |
|
1,043 |
995 |
$6K |
| 86038 |
|
299 |
289 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
38 |
36 |
$6K |
| 88307 |
|
292 |
175 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
122 |
107 |
$5K |
| 84153 |
|
222 |
213 |
$5K |
| 80069 |
|
191 |
176 |
$5K |
| 87210 |
|
883 |
844 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
58 |
58 |
$5K |
| 85610 |
|
636 |
475 |
$4K |
| 72100 |
|
135 |
128 |
$4K |
| 72170 |
|
231 |
212 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
116 |
108 |
$4K |
| 83735 |
|
565 |
428 |
$4K |
| 73590 |
|
188 |
160 |
$4K |
| 87070 |
|
258 |
243 |
$4K |
| 86706 |
|
288 |
270 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
85 |
84 |
$4K |
| 82784 |
|
142 |
135 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
83 |
75 |
$4K |
| 83690 |
|
370 |
357 |
$3K |
| 0054A |
|
83 |
83 |
$3K |
| 99307 |
|
144 |
132 |
$3K |
| 92567 |
|
321 |
293 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
53 |
$3K |
| 97035 |
|
358 |
159 |
$3K |
| 92341 |
|
90 |
88 |
$3K |
| 86850 |
|
125 |
121 |
$3K |
| 88341 |
|
50 |
28 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
53 |
49 |
$3K |
| 84165 |
|
212 |
196 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
136 |
121 |
$2K |
| 72110 |
|
49 |
49 |
$2K |
| 81003 |
|
1,168 |
1,057 |
$2K |
| 83615 |
|
326 |
273 |
$2K |
| 0071A |
|
56 |
54 |
$2K |
| 86762 |
|
180 |
167 |
$2K |
| 82274 |
|
44 |
44 |
$2K |
| 99188 |
|
452 |
427 |
$2K |
| 86592 |
|
358 |
348 |
$2K |
| 84481 |
|
93 |
85 |
$2K |
| 81015 |
|
416 |
403 |
$2K |
| 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 |
276 |
268 |
$2K |
| 86431 |
|
166 |
164 |
$2K |
| 99443 |
|
28 |
27 |
$2K |
| 93971 |
|
14 |
13 |
$2K |
| 88304 |
|
436 |
358 |
$2K |
| 0004A |
|
43 |
43 |
$1K |
| 85652 |
|
453 |
421 |
$1K |
| 82565 |
|
222 |
191 |
$1K |
| 99384 |
|
14 |
14 |
$1K |
| 92551 |
|
499 |
484 |
$1K |
| 73090 |
|
73 |
52 |
$1K |
| 73560 |
|
56 |
50 |
$1K |
| 90785 |
|
129 |
119 |
$1K |
| 84460 |
|
177 |
156 |
$1K |
| 0072A |
|
28 |
28 |
$1K |
| 84156 |
|
251 |
237 |
$1K |
| 86704 |
|
71 |
69 |
$1K |
| 83001 |
|
52 |
52 |
$1K |
| 87150 |
|
27 |
27 |
$1K |
| 84550 |
|
181 |
164 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
315 |
303 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
114 |
107 |
$935.94 |
| 82670 |
|
29 |
26 |
$926.93 |
| 88108 |
|
42 |
38 |
$840.79 |
| 36416 |
|
340 |
247 |
$818.41 |
| 72082 |
|
14 |
14 |
$764.53 |
| 99442 |
|
26 |
16 |
$657.32 |
| 84146 |
|
30 |
25 |
$594.68 |
| 92557 |
|
24 |
24 |
$579.25 |
| 83880 |
|
12 |
12 |
$553.35 |
| 90734 |
|
318 |
312 |
$527.57 |
| 87205 |
|
93 |
83 |
$501.46 |
| 82550 |
|
42 |
39 |
$499.72 |
| 90474 |
|
40 |
37 |
$495.21 |
| 98968 |
|
24 |
12 |
$452.85 |
| 72040 |
|
15 |
15 |
$429.47 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
100 |
97 |
$407.17 |
| 0031A |
|
26 |
26 |
$404.55 |
| G0141 |
Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician |
176 |
165 |
$391.78 |
| 77072 |
|
25 |
25 |
$381.84 |
| Q3014 |
Telehealth originating site facility fee |
227 |
203 |
$348.10 |
| 71045 |
Radiologic examination, chest; single view |
13 |
12 |
$279.66 |
| 84484 |
|
14 |
13 |
$274.67 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
39 |
$270.71 |
| 84450 |
|
39 |
38 |
$255.42 |
| 88300 |
|
102 |
100 |
$230.98 |
| 99173 |
|
494 |
480 |
$228.90 |
| 99441 |
|
28 |
16 |
$208.14 |
| 88141 |
|
13 |
12 |
$182.79 |
| 88302 |
|
17 |
13 |
$127.54 |
| 85651 |
|
47 |
39 |
$121.73 |
| 86900 |
|
122 |
120 |
$114.59 |
| 86901 |
|
109 |
107 |
$104.54 |
| 85018 |
|
27 |
24 |
$71.50 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$71.38 |
| 82950 |
|
12 |
12 |
$66.26 |
| 81002 |
|
13 |
12 |
$47.26 |
| 90461 |
|
16 |
16 |
$38.21 |
| 85379 |
|
13 |
12 |
$35.11 |
| 91307 |
|
100 |
90 |
$0.00 |
| 90698 |
|
887 |
845 |
$0.00 |
| 90680 |
|
249 |
236 |
$0.00 |
| 90744 |
|
183 |
177 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$0.00 |
| 97014 |
|
136 |
64 |
$0.00 |
| 90696 |
|
46 |
43 |
$0.00 |
| 91305 |
|
152 |
147 |
$0.00 |
| 92310 |
|
21 |
15 |
$0.00 |
| 88311 |
|
19 |
14 |
$0.00 |
| 91303 |
|
25 |
25 |
$0.00 |
| 91300 |
|
1,193 |
1,057 |
$0.00 |
| 90633 |
|
798 |
784 |
$0.00 |
| 90710 |
|
380 |
371 |
$0.00 |
| 90685 |
|
131 |
123 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$0.00 |