| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,753 |
2,531 |
$228K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
220 |
$14K |
| 80050 |
General health panel |
145 |
145 |
$6K |
| 96127 |
|
732 |
723 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$3K |
| 80061 |
Lipid panel |
241 |
241 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
288 |
288 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
15 |
14 |
$2K |
| 90686 |
|
129 |
128 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
127 |
$1K |
| 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 |
$975.00 |
| 86803 |
|
26 |
26 |
$354.23 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
14 |
14 |
$337.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$325.90 |
| 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 |
$325.00 |
| 99406 |
|
12 |
12 |
$190.60 |
| 82607 |
|
13 |
13 |
$167.50 |
| 36415 |
Collection of venous blood by venipuncture |
184 |
183 |
$143.92 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$105.60 |
| 96160 |
|
147 |
146 |
$61.69 |
| 99401 |
|
13 |
13 |
$31.00 |
| 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) |
82 |
73 |
$0.00 |
| 3078F |
|
17 |
17 |
$0.00 |
| 3074F |
|
19 |
19 |
$0.00 |