| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,985 |
4,467 |
$358K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,534 |
5,112 |
$300K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
525 |
512 |
$45K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
191 |
190 |
$20K |
| 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 |
250 |
238 |
$19K |
| 92015 |
Determination of refractive state |
1,236 |
1,206 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
3,022 |
2,762 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
297 |
294 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
221 |
217 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
764 |
747 |
$5K |
| 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 |
217 |
207 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
342 |
334 |
$4K |
| 90686 |
|
702 |
689 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
16 |
12 |
$1K |
| V2020 |
Frames, purchases |
28 |
25 |
$1K |
| 92551 |
|
223 |
219 |
$936.44 |
| 80061 |
Lipid panel |
39 |
38 |
$530.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$496.99 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$363.89 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
24 |
$196.11 |
| 99173 |
|
213 |
209 |
$190.29 |
| 90656 |
|
12 |
12 |
$131.03 |
| 96127 |
|
25 |
25 |
$54.14 |
| X5622 |
|
147 |
147 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |