| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,168 |
13,591 |
$655K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,986 |
1,944 |
$171K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,010 |
1,979 |
$166K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,477 |
1,448 |
$139K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,445 |
4,654 |
$119K |
| 99000 |
|
11,143 |
9,717 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,294 |
1,266 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,748 |
1,625 |
$94K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,424 |
1,369 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,528 |
1,494 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,661 |
5,383 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,487 |
2,371 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,153 |
1,134 |
$30K |
| 99429 |
|
1,006 |
986 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,340 |
2,450 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,534 |
2,408 |
$20K |
| 80061 |
Lipid panel |
2,047 |
1,930 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,126 |
1,077 |
$16K |
| 92552 |
|
4,056 |
3,976 |
$10K |
| 83655 |
|
1,530 |
1,472 |
$10K |
| 99241 |
|
507 |
459 |
$8K |
| 87807 |
|
558 |
548 |
$6K |
| 90461 |
|
1,283 |
1,062 |
$6K |
| 97802 |
|
4,637 |
4,348 |
$6K |
| 81000 |
|
1,452 |
1,372 |
$5K |
| 99050 |
|
284 |
280 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
34 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
855 |
839 |
$3K |
| 0072A |
|
62 |
62 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$2K |
| S9441 |
Asthma education, non-physician provider, per session |
108 |
101 |
$2K |
| 0071A |
|
56 |
56 |
$2K |
| 99381 |
|
12 |
12 |
$1K |
| 82947 |
|
579 |
549 |
$1K |
| 96160 |
|
531 |
527 |
$732.99 |
| 0001A |
|
15 |
15 |
$610.00 |
| 90671 |
|
353 |
348 |
$600.52 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$504.61 |
| 98960 |
|
46 |
43 |
$195.32 |
| 96161 |
|
401 |
395 |
$163.34 |
| 94760 |
|
110 |
101 |
$52.56 |
| 80053 |
Comprehensive metabolic panel |
1,374 |
1,281 |
$46.84 |
| 84436 |
|
29 |
27 |
$17.31 |
| 87081 |
|
1,914 |
1,842 |
$15.07 |
| 84439 |
|
566 |
532 |
$4.14 |
| 84443 |
Thyroid stimulating hormone (TSH) |
793 |
743 |
$3.23 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
426 |
413 |
$2.77 |
| 82652 |
|
263 |
240 |
$2.01 |
| 90686 |
|
1,604 |
1,593 |
$1.69 |
| 87088 |
|
219 |
201 |
$1.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
467 |
460 |
$1.23 |
| 90619 |
|
264 |
264 |
$0.76 |
| 91307 |
|
159 |
138 |
$0.48 |
| 90697 |
|
270 |
270 |
$0.43 |
| 91300 |
|
41 |
34 |
$0.18 |
| 90677 |
|
101 |
101 |
$0.13 |
| 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 |
119 |
118 |
$0.09 |
| 90630 |
|
13 |
13 |
$0.09 |
| 90620 |
|
202 |
200 |
$0.03 |
| 99173 |
|
3,952 |
3,870 |
$0.00 |
| 90707 |
|
526 |
520 |
$0.00 |
| 90670 |
|
708 |
680 |
$0.00 |
| 90633 |
|
653 |
618 |
$0.00 |
| 90685 |
|
42 |
40 |
$0.00 |
| 99401 |
|
1,269 |
1,219 |
$0.00 |
| 90672 |
|
34 |
34 |
$0.00 |
| 90649 |
|
151 |
150 |
$0.00 |
| 90681 |
|
103 |
102 |
$0.00 |
| 90700 |
|
79 |
78 |
$0.00 |
| 90715 |
|
95 |
95 |
$0.00 |
| 90734 |
|
58 |
58 |
$0.00 |
| 90756 |
|
18 |
18 |
$0.00 |
| 36416 |
|
4,309 |
4,043 |
$0.00 |
| 82962 |
|
1,269 |
1,243 |
$0.00 |
| 90716 |
|
543 |
537 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,109 |
1,947 |
$0.00 |
| 90651 |
|
323 |
321 |
$0.00 |
| 90680 |
|
515 |
498 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,128 |
3,063 |
$0.00 |
| 90647 |
|
439 |
414 |
$0.00 |
| 1031F |
|
2,617 |
2,568 |
$0.00 |
| 90723 |
|
82 |
78 |
$0.00 |
| 90696 |
|
71 |
70 |
$0.00 |
| 96127 |
|
14 |
14 |
$0.00 |
| 1005F |
|
28 |
25 |
$0.00 |
| 90698 |
|
28 |
28 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
13 |
12 |
$0.00 |