| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,844 |
8,737 |
$360K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,163 |
1,088 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,646 |
2,290 |
$117K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,126 |
1,994 |
$73K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,206 |
995 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
969 |
849 |
$53K |
| 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 |
697 |
624 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
725 |
682 |
$41K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,541 |
1,295 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
443 |
409 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,238 |
1,156 |
$21K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,100 |
335 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
188 |
178 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
4,267 |
3,445 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,256 |
1,947 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,945 |
1,814 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
548 |
489 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
895 |
769 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
797 |
736 |
$13K |
| 97161 |
|
268 |
232 |
$11K |
| 80053 |
Comprehensive metabolic panel |
1,166 |
986 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
159 |
155 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
456 |
429 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
534 |
493 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
171 |
164 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
668 |
594 |
$5K |
| 81001 |
|
1,496 |
1,317 |
$5K |
| 99307 |
|
307 |
275 |
$4K |
| 90473 |
|
410 |
393 |
$4K |
| 90686 |
|
950 |
904 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
494 |
405 |
$3K |
| 80061 |
Lipid panel |
323 |
275 |
$3K |
| 87634 |
|
40 |
38 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
468 |
380 |
$2K |
| 0240U |
|
18 |
16 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
60 |
53 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
69 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
141 |
114 |
$1K |
| 90715 |
|
74 |
72 |
$1K |
| 90670 |
|
699 |
668 |
$1K |
| 80050 |
General health panel |
51 |
46 |
$1K |
| 82728 |
|
88 |
77 |
$966.79 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$791.57 |
| 87660 |
|
60 |
48 |
$756.83 |
| 87510 |
|
61 |
48 |
$751.78 |
| 87480 |
|
61 |
48 |
$736.83 |
| 97035 |
|
93 |
26 |
$691.55 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
13 |
$606.97 |
| W0037 |
|
109 |
109 |
$327.00 |
| 11721 |
|
57 |
55 |
$312.09 |
| 85027 |
|
28 |
28 |
$209.01 |
| 86140 |
|
13 |
13 |
$67.34 |
| 90633 |
|
213 |
198 |
$61.56 |
| 90680 |
|
431 |
419 |
$0.00 |
| 90723 |
|
483 |
467 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90696 |
|
33 |
28 |
$0.00 |
| 90648 |
|
698 |
664 |
$0.00 |
| 90710 |
|
90 |
77 |
$0.00 |
| 90685 |
|
35 |
32 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |