| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,764 |
8,358 |
$791K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,397 |
3,250 |
$231K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,224 |
1,224 |
$161K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
983 |
976 |
$132K |
| 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 |
2,525 |
2,409 |
$130K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,524 |
1,469 |
$117K |
| 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 |
1,620 |
1,550 |
$28K |
| 88342 |
|
924 |
912 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
573 |
554 |
$22K |
| 99487 |
Ccm add 20min |
251 |
251 |
$20K |
| 88313 |
|
929 |
917 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
147 |
$13K |
| 88341 |
|
400 |
396 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
68 |
68 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
335 |
314 |
$7K |
| 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) |
430 |
416 |
$7K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
38 |
38 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
108 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
76 |
76 |
$4K |
| 99243 |
|
28 |
28 |
$3K |
| 36000 |
|
238 |
235 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
387 |
374 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,681 |
2,535 |
$1K |
| 99051 |
|
301 |
283 |
$805.93 |
| 86328 |
|
14 |
14 |
$633.22 |
| 99401 |
|
26 |
25 |
$622.89 |
| 90756 |
|
19 |
19 |
$525.97 |
| 93000 |
|
26 |
26 |
$374.09 |
| 96160 |
|
145 |
145 |
$294.01 |
| 86413 |
|
33 |
32 |
$270.89 |
| 99072 |
|
11,538 |
9,744 |
$232.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$224.20 |
| 80076 |
|
56 |
56 |
$204.53 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
40 |
39 |
$179.90 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$177.60 |
| 81025 |
|
24 |
24 |
$169.96 |
| 80061 |
Lipid panel |
44 |
44 |
$153.52 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
74 |
69 |
$135.95 |
| 82607 |
|
18 |
18 |
$118.38 |
| 86141 |
|
19 |
19 |
$95.86 |
| 82728 |
|
15 |
15 |
$87.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
20 |
20 |
$62.05 |
| 83690 |
|
17 |
17 |
$48.69 |
| 84439 |
|
26 |
26 |
$48.52 |
| 82150 |
|
13 |
13 |
$38.15 |
| 83550 |
|
13 |
13 |
$37.26 |
| 83540 |
|
13 |
13 |
$35.42 |
| 99173 |
|
30 |
29 |
$3.66 |