| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,366 |
3,126 |
$576K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
380 |
360 |
$21K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
468 |
411 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
101 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
104 |
101 |
$6K |
| 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 |
60 |
59 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
72 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
43 |
42 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
31 |
30 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13 |
13 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
26 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
43 |
40 |
$2K |
| 80061 |
Lipid panel |
12 |
12 |
$729.12 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
29 |
$687.37 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$669.28 |
| 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 |
13 |
13 |
$379.28 |