| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,145 |
3,807 |
$312K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,959 |
4,582 |
$269K |
| 90691 |
|
119 |
115 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
3,538 |
3,291 |
$13K |
| 90717 |
|
73 |
70 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
292 |
289 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
556 |
548 |
$8K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
554 |
541 |
$6K |
| 90686 |
|
669 |
660 |
$6K |
| 99402 |
|
134 |
130 |
$6K |
| 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 |
52 |
51 |
$4K |
| 0064A |
|
52 |
48 |
$2K |
| 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 |
52 |
51 |
$1K |
| 92551 |
|
161 |
155 |
$1K |
| 80061 |
Lipid panel |
79 |
75 |
$1K |
| 90734 |
|
13 |
13 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
12 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
12 |
$613.38 |
| 80053 |
Comprehensive metabolic panel |
55 |
53 |
$606.98 |
| 84443 |
Thyroid stimulating hormone (TSH) |
30 |
29 |
$502.43 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
12 |
$387.31 |
| 0031A |
|
15 |
15 |
$308.44 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
27 |
$277.53 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
29 |
26 |
$271.99 |
| 90656 |
|
14 |
14 |
$270.48 |
| 85027 |
|
42 |
41 |
$238.43 |
| 99173 |
|
141 |
138 |
$212.51 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$124.38 |
| 96127 |
|
14 |
14 |
$61.18 |
| 85018 |
|
15 |
13 |
$42.30 |
| X5622 |
|
174 |
171 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$0.00 |