| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,997 |
8,982 |
$676K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,848 |
2,654 |
$159K |
| 0002A |
|
1,413 |
1,349 |
$46K |
| 0001A |
|
1,690 |
1,564 |
$43K |
| 36415 |
Collection of venous blood by venipuncture |
8,625 |
7,838 |
$34K |
| 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 |
258 |
247 |
$20K |
| 0004A |
|
566 |
538 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,448 |
1,391 |
$19K |
| 0072A |
|
431 |
414 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
243 |
242 |
$16K |
| 0071A |
|
431 |
364 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
244 |
240 |
$13K |
| 0054A |
|
304 |
278 |
$11K |
| 0064A |
|
269 |
266 |
$11K |
| 80053 |
Comprehensive metabolic panel |
1,138 |
1,085 |
$10K |
| 99215 |
Prolong outpt/office vis |
120 |
109 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
453 |
436 |
$7K |
| 80061 |
Lipid panel |
538 |
519 |
$7K |
| 85027 |
|
1,150 |
1,090 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
739 |
715 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
228 |
224 |
$6K |
| 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 |
226 |
216 |
$6K |
| 90686 |
|
494 |
475 |
$5K |
| 0124A |
|
117 |
107 |
$4K |
| 90682 |
|
68 |
67 |
$4K |
| 91320 |
|
32 |
31 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
65 |
$3K |
| 0052A |
|
86 |
74 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
129 |
123 |
$2K |
| 0051A |
|
40 |
40 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 80050 |
General health panel |
36 |
29 |
$1K |
| 0134A |
|
41 |
40 |
$1K |
| 90480 |
|
33 |
32 |
$1K |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
56 |
51 |
$1K |
| 96127 |
|
277 |
253 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
47 |
44 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
152 |
147 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$992.95 |
| 90662 |
|
29 |
27 |
$957.00 |
| 92551 |
|
105 |
103 |
$817.50 |
| 0031A |
|
18 |
18 |
$784.44 |
| 86803 |
|
58 |
55 |
$765.09 |
| 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) |
338 |
322 |
$655.94 |
| 0082A |
|
20 |
17 |
$636.38 |
| 0083A |
|
15 |
12 |
$458.01 |
| 0074A |
|
15 |
12 |
$411.64 |
| G0008 |
Administration of influenza virus vaccine |
31 |
30 |
$338.10 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
55 |
51 |
$308.26 |
| 99188 |
|
40 |
40 |
$301.76 |
| 90656 |
|
28 |
27 |
$286.68 |
| 77080 |
|
12 |
12 |
$256.70 |
| 99173 |
|
144 |
142 |
$252.06 |
| 81001 |
|
80 |
76 |
$240.48 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$225.74 |
| 99000 |
|
14 |
13 |
$158.86 |
| 91300 |
|
13 |
13 |
$0.00 |