| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
558 |
541 |
$600.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,867 |
6,582 |
$194.93 |
| 99442 |
|
2,153 |
2,065 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
3,159 |
3,108 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
536 |
533 |
$0.00 |
| 3078F |
|
1,291 |
1,216 |
$0.00 |
| 90658 |
|
26 |
26 |
$0.00 |
| 87186 |
|
1,122 |
1,091 |
$0.00 |
| 98968 |
|
90 |
77 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,903 |
2,775 |
$0.00 |
| 74018 |
|
875 |
872 |
$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 |
418 |
379 |
$0.00 |
| 80061 |
Lipid panel |
3,247 |
3,217 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,957 |
4,416 |
$0.00 |
| 90653 |
|
19 |
19 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
410 |
374 |
$0.00 |
| 76770 |
|
1,715 |
1,713 |
$0.00 |
| 85610 |
|
631 |
596 |
$0.00 |
| 86703 |
|
560 |
558 |
$0.00 |
| 82274 |
|
310 |
308 |
$0.00 |
| 91300 |
|
94 |
94 |
$0.00 |
| 97542 |
|
603 |
543 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,927 |
1,587 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,566 |
1,805 |
$0.00 |
| 3077F |
|
165 |
150 |
$0.00 |
| 82540 |
|
15 |
15 |
$0.00 |
| 98960 |
|
171 |
137 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
24 |
24 |
$0.00 |
| 94770 |
|
57 |
56 |
$0.00 |
| 86480 |
|
12 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$0.00 |
| 97161 |
|
54 |
54 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
151 |
144 |
$0.00 |
| 81003 |
|
40 |
40 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
895 |
866 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,694 |
3,671 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
4,132 |
4,043 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
7,756 |
7,295 |
$0.00 |
| 97162 |
|
389 |
385 |
$0.00 |
| 85027 |
|
201 |
198 |
$0.00 |
| 81001 |
|
1,611 |
1,534 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,237 |
2,223 |
$0.00 |
| 90885 |
|
151 |
134 |
$0.00 |
| 85730 |
|
169 |
165 |
$0.00 |
| 90686 |
|
124 |
124 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,319 |
1,315 |
$0.00 |
| 1111F |
|
311 |
297 |
$0.00 |
| 87088 |
|
351 |
341 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,496 |
1,412 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,639 |
3,570 |
$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 |
366 |
333 |
$0.00 |
| 99443 |
|
1,411 |
1,353 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
604 |
600 |
$0.00 |
| 3074F |
|
1,190 |
1,123 |
$0.00 |
| 90889 |
|
231 |
203 |
$0.00 |
| 3075F |
|
169 |
162 |
$0.00 |
| 98967 |
|
67 |
65 |
$0.00 |
| 3044F |
|
360 |
355 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
323 |
322 |
$0.00 |
| 99441 |
|
177 |
168 |
$0.00 |
| 82607 |
|
169 |
169 |
$0.00 |
| 3079F |
|
183 |
177 |
$0.00 |
| 97535 |
Self-care/home management training, each 15 minutes |
19 |
12 |
$0.00 |
| 90656 |
|
53 |
53 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
24 |
24 |
$0.00 |
| 51705 |
|
37 |
37 |
$0.00 |
| D1330 |
|
81 |
81 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
20 |
13 |
$0.00 |
| 83735 |
|
44 |
41 |
$0.00 |
| 83605 |
|
12 |
12 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
45 |
43 |
$0.00 |
| 88142 |
|
13 |
13 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 85008 |
|
13 |
13 |
$0.00 |
| 82043 |
|
15 |
15 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$0.00 |