| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,617 |
17,653 |
$1.63M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,327 |
6,304 |
$731K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,173 |
1,173 |
$108K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
578 |
540 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
287 |
282 |
$13K |
| 99401 |
|
458 |
434 |
$13K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,088 |
1,037 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
131 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
115 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
97 |
$10K |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
425 |
418 |
$8K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
299 |
286 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
905 |
847 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,076 |
1,984 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
614 |
592 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
628 |
609 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
157 |
142 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
715 |
701 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
217 |
213 |
$4K |
| 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 |
40 |
34 |
$2K |
| 81002 |
|
1,220 |
1,164 |
$2K |
| 99441 |
|
49 |
48 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$632.97 |
| 90658 |
|
140 |
140 |
$595.20 |
| 69210 |
|
12 |
12 |
$544.76 |
| 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 |
41 |
35 |
$488.75 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,220 |
1,125 |
$450.07 |
| 85018 |
|
136 |
136 |
$233.92 |
| 87088 |
|
29 |
28 |
$199.52 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
20 |
20 |
$106.05 |
| 81000 |
|
30 |
29 |
$102.00 |
| 99051 |
|
13 |
13 |
$63.70 |
| 36415 |
Collection of venous blood by venipuncture |
2,497 |
2,392 |
$61.56 |
| 87400 |
|
160 |
155 |
$12.01 |
| 90461 |
|
71 |
71 |
$6.13 |
| 94760 |
|
5,563 |
4,305 |
$0.66 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
283 |
281 |
$0.00 |
| 99000 |
|
2,801 |
2,573 |
$0.00 |
| G4028 |
Podiatry mips specialty set |
30 |
30 |
$0.00 |
| 99403 |
|
29 |
29 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
34 |
34 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 99080 |
|
269 |
262 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
178 |
174 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
163 |
152 |
$0.00 |