| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,668 |
4,560 |
$237K |
| 99499 |
|
2,231 |
2,088 |
$196K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,144 |
2,509 |
$103K |
| 99050 |
|
2,559 |
1,406 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,280 |
2,555 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,246 |
1,159 |
$80K |
| 99091 |
|
280 |
138 |
$32K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
478 |
369 |
$27K |
| 92552 |
|
1,513 |
1,198 |
$20K |
| 99423 |
|
450 |
129 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
243 |
163 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
127 |
$10K |
| 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 |
479 |
370 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
691 |
283 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,339 |
514 |
$8K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
21 |
21 |
$7K |
| 99350 |
Prolong home eval add 15m |
117 |
112 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
164 |
160 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
415 |
359 |
$4K |
| 86328 |
|
67 |
61 |
$2K |
| 81002 |
|
1,430 |
1,168 |
$2K |
| 99443 |
|
39 |
39 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
243 |
206 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 99072 |
|
11,634 |
7,729 |
$682.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
132 |
115 |
$512.83 |
| 99173 |
|
1,646 |
1,282 |
$499.84 |
| 86318 |
|
31 |
29 |
$494.37 |
| 99000 |
|
58 |
54 |
$450.00 |
| 90461 |
|
109 |
81 |
$413.61 |
| 99442 |
|
13 |
12 |
$402.17 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$353.74 |
| 80305 |
|
42 |
39 |
$325.00 |
| 80053 |
Comprehensive metabolic panel |
53 |
47 |
$294.42 |
| 80061 |
Lipid panel |
33 |
26 |
$159.18 |
| 93000 |
|
12 |
12 |
$123.54 |
| 36415 |
Collection of venous blood by venipuncture |
463 |
416 |
$99.28 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$71.25 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$65.28 |
| 81001 |
|
51 |
38 |
$50.92 |
| 83735 |
|
21 |
17 |
$39.91 |
| 84100 |
|
20 |
17 |
$16.04 |
| 96127 |
|
21 |
21 |
$15.06 |
| 99490 |
Ccm add 20min |
368 |
368 |
$11.24 |
| 96160 |
|
269 |
193 |
$7.10 |
| 3725F |
|
34 |
27 |
$0.00 |
| 3046F |
|
17 |
17 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
38 |
34 |
$0.00 |
| 3051F |
|
17 |
17 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |
| 3044F |
|
31 |
30 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 1126F |
|
13 |
12 |
$0.00 |
| 90686 |
|
91 |
70 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15 |
12 |
$0.00 |
| 3011F |
|
47 |
37 |
$0.00 |
| 3052F |
|
17 |
17 |
$0.00 |