| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,428 |
6,365 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
143 |
143 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
143 |
143 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,304 |
2,203 |
$899.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,703 |
4,054 |
$796.28 |
| A4267 |
Contraceptive supply, condom, male, each |
15 |
14 |
$223.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
331 |
307 |
$157.96 |
| 81025 |
|
109 |
103 |
$53.20 |
| 87210 |
|
19 |
17 |
$12.82 |
| 99443 |
|
384 |
375 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
10,115 |
9,019 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
803 |
794 |
$0.00 |
| 81001 |
|
575 |
561 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
553 |
524 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,659 |
4,641 |
$0.00 |
| 99441 |
|
1,078 |
1,041 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
6,019 |
5,615 |
$0.00 |
| 85027 |
|
1,278 |
1,187 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,821 |
4,522 |
$0.00 |
| 82043 |
|
1,072 |
1,059 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,733 |
1,721 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
52 |
38 |
$0.00 |
| 1220F |
|
983 |
946 |
$0.00 |
| 81000 |
|
235 |
206 |
$0.00 |
| 1000F |
|
69 |
69 |
$0.00 |
| 86592 |
|
134 |
133 |
$0.00 |
| 82728 |
|
400 |
393 |
$0.00 |
| 4450F |
|
350 |
341 |
$0.00 |
| 92227 |
|
36 |
36 |
$0.00 |
| 85008 |
|
298 |
276 |
$0.00 |
| 90656 |
|
71 |
71 |
$0.00 |
| 83550 |
|
312 |
302 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
314 |
308 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
149 |
149 |
$0.00 |
| 3074F |
|
813 |
749 |
$0.00 |
| 86780 |
|
464 |
463 |
$0.00 |
| 3080F |
|
89 |
84 |
$0.00 |
| 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 |
129 |
128 |
$0.00 |
| 3079F |
|
252 |
239 |
$0.00 |
| 82607 |
|
207 |
200 |
$0.00 |
| 3044F |
|
412 |
412 |
$0.00 |
| 87340 |
|
73 |
73 |
$0.00 |
| 83735 |
|
62 |
43 |
$0.00 |
| 3052F |
|
13 |
12 |
$0.00 |
| 3075F |
|
236 |
230 |
$0.00 |
| 90686 |
|
142 |
142 |
$0.00 |
| 86850 |
|
14 |
13 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
73 |
73 |
$0.00 |
| 85652 |
|
13 |
13 |
$0.00 |
| 1111F |
|
414 |
399 |
$0.00 |
| 86706 |
|
13 |
13 |
$0.00 |
| 87088 |
|
70 |
67 |
$0.00 |
| 86901 |
|
14 |
13 |
$0.00 |
| 87205 |
|
24 |
24 |
$0.00 |
| 82540 |
|
1,072 |
1,059 |
$0.00 |
| 80061 |
Lipid panel |
4,988 |
4,969 |
$0.00 |
| 99442 |
|
2,986 |
2,775 |
$0.00 |
| 83540 |
|
329 |
319 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
286 |
286 |
$0.00 |
| 85610 |
|
58 |
51 |
$0.00 |
| 82274 |
|
1,051 |
1,031 |
$0.00 |
| 3077F |
|
218 |
210 |
$0.00 |
| 81003 |
|
125 |
125 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
43 |
42 |
$0.00 |
| 86703 |
|
1,046 |
1,040 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
315 |
300 |
$0.00 |
| 80074 |
|
194 |
194 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$0.00 |
| 84439 |
|
181 |
177 |
$0.00 |
| 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 |
125 |
124 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
55 |
55 |
$0.00 |
| 3078F |
|
986 |
910 |
$0.00 |
| 84460 |
|
39 |
39 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
103 |
89 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
349 |
184 |
$0.00 |
| 91300 |
|
18 |
18 |
$0.00 |
| 86480 |
|
54 |
53 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 1033F |
|
57 |
57 |
$0.00 |
| 86900 |
|
14 |
13 |
$0.00 |