| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,520 |
32,483 |
$1.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,935 |
12,727 |
$982K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
451 |
212 |
$666K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,214 |
2,286 |
$372K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,945 |
3,528 |
$341K |
| 80053 |
Comprehensive metabolic panel |
2,533 |
2,260 |
$259K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
754 |
556 |
$247K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,817 |
3,404 |
$191K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,203 |
2,510 |
$177K |
| 36415 |
Collection of venous blood by venipuncture |
11,137 |
9,307 |
$164K |
| A0425 |
Ground mileage, per statute mile |
754 |
556 |
$157K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
492 |
441 |
$79K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
318 |
245 |
$63K |
| 90837 |
Psychotherapy, 53 minutes with patient |
589 |
335 |
$57K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
680 |
193 |
$45K |
| 99307 |
|
984 |
926 |
$30K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
678 |
636 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,044 |
958 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
619 |
572 |
$22K |
| 90785 |
|
1,570 |
801 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
266 |
230 |
$19K |
| J3490 |
Unclassified drugs |
1,094 |
493 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
194 |
165 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,330 |
1,247 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
247 |
$16K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
683 |
615 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
234 |
221 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
296 |
282 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
407 |
177 |
$11K |
| 84443 |
Thyroid stimulating hormone (TSH) |
224 |
214 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
109 |
102 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
109 |
54 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
170 |
150 |
$8K |
| 90686 |
|
1,041 |
963 |
$7K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
206 |
194 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
172 |
146 |
$6K |
| 85610 |
|
202 |
111 |
$5K |
| 0240U |
|
32 |
29 |
$5K |
| 81001 |
|
203 |
180 |
$5K |
| 76000 |
|
26 |
25 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
22 |
12 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
35 |
27 |
$4K |
| 80061 |
Lipid panel |
78 |
66 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
32 |
29 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
71 |
$3K |
| 0001A |
|
112 |
110 |
$3K |
| 99348 |
|
53 |
38 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
29 |
24 |
$2K |
| 0002A |
|
86 |
84 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
36 |
$2K |
| 81003 |
|
370 |
304 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
49 |
39 |
$1K |
| 86140 |
|
44 |
39 |
$1K |
| 85027 |
|
54 |
47 |
$1K |
| 83605 |
|
14 |
12 |
$914.60 |
| 90461 |
|
181 |
155 |
$867.09 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
12 |
$847.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
197 |
174 |
$782.99 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$722.75 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$701.40 |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
140 |
134 |
$680.00 |
| 20610 |
|
20 |
12 |
$517.49 |
| 0071A |
|
26 |
26 |
$421.13 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
28 |
28 |
$380.76 |
| 99442 |
|
27 |
12 |
$380.70 |
| 99443 |
|
31 |
12 |
$320.72 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
53 |
49 |
$295.39 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
12 |
$280.69 |
| 0012A |
|
13 |
13 |
$252.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$239.67 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$221.15 |
| 90670 |
|
12 |
12 |
$204.00 |
| 90656 |
|
43 |
43 |
$186.12 |
| G0008 |
Administration of influenza virus vaccine |
56 |
52 |
$183.02 |
| 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 |
13 |
12 |
$156.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$130.85 |
| 90734 |
|
36 |
35 |
$124.76 |
| 90715 |
|
32 |
31 |
$115.50 |
| 87088 |
|
14 |
14 |
$101.90 |
| 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) |
17 |
17 |
$47.09 |
| 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 |
13 |
12 |
$28.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90685 |
|
25 |
25 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$0.00 |