| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,654 |
2,280 |
$135K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,076 |
958 |
$39K |
| 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 |
79 |
77 |
$8K |
| 80061 |
Lipid panel |
214 |
212 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,194 |
1,105 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
201 |
193 |
$2K |
| 99442 |
|
58 |
34 |
$1K |
| 99443 |
|
48 |
35 |
$900.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
91 |
91 |
$863.25 |
| 90686 |
|
121 |
119 |
$837.60 |
| 80053 |
Comprehensive metabolic panel |
30 |
30 |
$293.97 |
| 99441 |
|
23 |
16 |
$193.23 |
| 84443 |
Thyroid stimulating hormone (TSH) |
36 |
36 |
$183.21 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$94.78 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$81.18 |
| 81001 |
|
12 |
12 |
$4.00 |
| X5622 |
|
15 |
13 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
14 |
13 |
$0.00 |