| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,057 |
12,045 |
$925K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,064 |
13,030 |
$719K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,284 |
3,251 |
$98K |
| 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 |
730 |
713 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
758 |
751 |
$54K |
| X5622 |
|
1,878 |
1,842 |
$46K |
| 36415 |
Collection of venous blood by venipuncture |
8,436 |
7,826 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
402 |
399 |
$28K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
6,380 |
6,315 |
$26K |
| 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 |
705 |
689 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
233 |
233 |
$16K |
| 80061 |
Lipid panel |
903 |
888 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
860 |
844 |
$9K |
| 90686 |
|
1,794 |
1,767 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
122 |
89 |
$8K |
| 99188 |
|
1,196 |
1,190 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
122 |
$8K |
| 99215 |
Prolong outpt/office vis |
57 |
55 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,030 |
978 |
$6K |
| 80053 |
Comprehensive metabolic panel |
637 |
626 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
164 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
93 |
92 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
390 |
386 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
163 |
159 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
79 |
77 |
$2K |
| 90670 |
|
222 |
219 |
$2K |
| 92551 |
|
2,500 |
2,477 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
228 |
215 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
142 |
142 |
$873.31 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
99 |
96 |
$791.77 |
| 96127 |
|
211 |
210 |
$749.80 |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$640.67 |
| 85027 |
|
102 |
100 |
$623.98 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
25 |
25 |
$478.02 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
25 |
25 |
$478.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
28 |
$343.16 |
| 99173 |
|
2,328 |
2,304 |
$304.40 |
| 81001 |
|
80 |
78 |
$218.67 |
| 0012A |
|
13 |
13 |
$208.81 |
| 86803 |
|
12 |
12 |
$173.41 |
| 82728 |
|
13 |
13 |
$166.97 |
| 0011A |
|
13 |
13 |
$166.37 |
| 85018 |
|
66 |
64 |
$162.35 |
| 36416 |
|
46 |
42 |
$87.85 |
| 82248 |
|
13 |
13 |
$69.48 |
| 99177 |
|
12 |
12 |
$57.12 |
| 87081 |
|
64 |
57 |
$9.16 |
| 90647 |
|
37 |
37 |
$0.00 |
| 90656 |
|
26 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |