| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,587 |
2,392 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,541 |
1,460 |
$93K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
319 |
313 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
358 |
353 |
$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 |
58 |
57 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,211 |
1,131 |
$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 |
45 |
45 |
$1K |
| 96127 |
|
154 |
148 |
$590.15 |
| 92551 |
|
71 |
68 |
$515.33 |
| 90686 |
|
138 |
135 |
$497.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$214.62 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$187.40 |
| 99173 |
|
81 |
78 |
$112.26 |
| 90656 |
|
12 |
12 |
$24.34 |
| 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) |
15 |
15 |
$0.00 |