| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,741 |
11,687 |
$874K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,185 |
11,346 |
$622K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,264 |
3,184 |
$188K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
733 |
721 |
$58K |
| 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 |
696 |
681 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,344 |
4,212 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
509 |
502 |
$35K |
| 36415 |
Collection of venous blood by venipuncture |
8,946 |
8,349 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,999 |
1,956 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
438 |
405 |
$30K |
| 80061 |
Lipid panel |
1,303 |
1,274 |
$15K |
| 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 |
605 |
594 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,002 |
973 |
$13K |
| 99215 |
Prolong outpt/office vis |
90 |
85 |
$10K |
| 96127 |
|
2,404 |
2,136 |
$9K |
| 80053 |
Comprehensive metabolic panel |
921 |
841 |
$8K |
| 92551 |
|
1,254 |
1,237 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
73 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
780 |
661 |
$6K |
| 90686 |
|
1,728 |
1,694 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
624 |
622 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
903 |
826 |
$5K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
324 |
180 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
51 |
$5K |
| 99188 |
|
923 |
903 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
535 |
527 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
53 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
167 |
$3K |
| X5622 |
|
571 |
565 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
756 |
529 |
$3K |
| 86803 |
|
220 |
220 |
$3K |
| 85027 |
|
475 |
465 |
$3K |
| 80306 |
|
183 |
162 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
96 |
96 |
$2K |
| 99442 |
|
108 |
65 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
86 |
83 |
$2K |
| 99000 |
|
164 |
161 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
259 |
254 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
45 |
24 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
12 |
$2K |
| 99443 |
|
61 |
40 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
12 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13 |
12 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
16 |
15 |
$2K |
| 99173 |
|
1,286 |
1,269 |
$1K |
| 90715 |
|
101 |
95 |
$1K |
| 90651 |
|
47 |
43 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
28 |
28 |
$971.48 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
27 |
27 |
$938.11 |
| 0004A |
|
27 |
26 |
$784.22 |
| 90670 |
|
190 |
176 |
$773.88 |
| 90480 |
|
34 |
34 |
$713.36 |
| 71046 |
Radiologic examination, chest; 2 views |
38 |
38 |
$695.18 |
| 36416 |
|
250 |
166 |
$687.83 |
| 87081 |
|
164 |
162 |
$653.85 |
| 90682 |
|
13 |
13 |
$631.32 |
| 71250 |
|
14 |
13 |
$630.43 |
| 81001 |
|
131 |
127 |
$392.96 |
| 82043 |
|
78 |
76 |
$388.74 |
| 81025 |
|
39 |
38 |
$316.21 |
| 90461 |
|
13 |
12 |
$223.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
13 |
$220.17 |
| 90698 |
|
92 |
89 |
$214.29 |
| 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) |
193 |
190 |
$187.05 |
| 87210 |
|
25 |
25 |
$135.39 |
| 93000 |
|
12 |
12 |
$112.35 |
| 85610 |
|
26 |
13 |
$109.40 |
| 90656 |
|
117 |
114 |
$97.36 |
| 96161 |
|
41 |
38 |
$58.77 |
| 99459 |
|
19 |
19 |
$0.00 |
| 90677 |
|
40 |
39 |
$0.00 |
| 90697 |
|
14 |
13 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 99421 |
|
12 |
12 |
$0.00 |
| 90685 |
|
14 |
13 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |