| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99205 |
Prolong outpt/office vis |
1,534 |
1,487 |
$269K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
4,749 |
3,172 |
$92K |
| 99215 |
Prolong outpt/office vis |
1,090 |
1,056 |
$64K |
| G9012 |
Other specified case management service not elsewhere classified |
211 |
154 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
355 |
323 |
$1K |
| 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 |
376 |
366 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,041 |
1,961 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,088 |
6,009 |
$745.47 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,248 |
2,206 |
$744.83 |
| 80053 |
Comprehensive metabolic panel |
5,546 |
5,230 |
$732.67 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
419 |
409 |
$693.90 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
418 |
408 |
$691.37 |
| 0760 |
|
110 |
95 |
$679.16 |
| 87522 |
Neg quan hep c or qual rna |
694 |
677 |
$664.07 |
| 0510 |
|
31 |
28 |
$647.08 |
| 80061 |
Lipid panel |
5,415 |
5,345 |
$558.57 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,763 |
4,443 |
$500.79 |
| 86780 |
|
1,105 |
1,088 |
$457.31 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
293 |
292 |
$443.06 |
| 86480 |
|
314 |
308 |
$376.27 |
| 85027 |
|
2,293 |
2,244 |
$361.58 |
| 86703 |
|
1,456 |
1,444 |
$338.05 |
| 87340 |
|
290 |
284 |
$208.40 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
849 |
814 |
$206.28 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,170 |
1,155 |
$190.38 |
| 0516 |
|
14 |
12 |
$185.85 |
| 80076 |
|
1,444 |
1,412 |
$139.88 |
| 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 |
422 |
411 |
$116.25 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
496 |
496 |
$111.06 |
| 84439 |
|
497 |
487 |
$103.18 |
| 82728 |
|
440 |
427 |
$83.65 |
| 88187 |
|
48 |
48 |
$65.26 |
| 83735 |
|
548 |
443 |
$64.96 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
84 |
$54.28 |
| 82607 |
|
201 |
197 |
$52.93 |
| 81001 |
|
1,000 |
963 |
$51.02 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,931 |
7,541 |
$49.68 |
| 83550 |
|
380 |
365 |
$47.74 |
| 81025 |
|
419 |
412 |
$45.67 |
| 82043 |
|
865 |
844 |
$45.37 |
| 83540 |
|
561 |
543 |
$45.28 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,125 |
2,044 |
$40.91 |
| 85610 |
|
591 |
525 |
$38.30 |
| 82540 |
|
865 |
844 |
$36.80 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
111 |
110 |
$34.34 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
825 |
446 |
$32.66 |
| 82274 |
|
993 |
972 |
$28.28 |
| 99443 |
|
1,609 |
1,541 |
$27.70 |
| 81003 |
|
498 |
492 |
$24.40 |
| 99201 |
|
71 |
71 |
$23.77 |
| 86141 |
|
85 |
82 |
$22.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$18.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,899 |
1,875 |
$17.68 |
| 84153 |
|
39 |
39 |
$16.35 |
| 82746 |
|
13 |
13 |
$12.94 |
| 86850 |
|
64 |
62 |
$10.31 |
| 86901 |
|
66 |
64 |
$9.78 |
| 86900 |
|
66 |
64 |
$9.46 |
| 86706 |
|
57 |
57 |
$9.41 |
| 81000 |
|
449 |
394 |
$9.12 |
| 90670 |
|
33 |
33 |
$9.00 |
| 85652 |
|
194 |
192 |
$7.14 |
| 85014 |
|
154 |
152 |
$6.29 |
| 85018 |
|
154 |
152 |
$6.17 |
| 86592 |
|
365 |
361 |
$3.80 |
| 87205 |
|
40 |
40 |
$3.43 |
| 85008 |
|
349 |
291 |
$1.53 |
| 36415 |
Collection of venous blood by venipuncture |
13,909 |
12,682 |
$0.00 |
| 3075F |
|
246 |
238 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,715 |
1,647 |
$0.00 |
| 3079F |
|
344 |
329 |
$0.00 |
| 1220F |
|
933 |
904 |
$0.00 |
| 70300 |
|
454 |
449 |
$0.00 |
| 99441 |
|
995 |
964 |
$0.00 |
| 1111F |
|
647 |
603 |
$0.00 |
| 4450F |
|
198 |
196 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
284 |
257 |
$0.00 |
| 87088 |
|
238 |
224 |
$0.00 |
| 90686 |
|
309 |
309 |
$0.00 |
| 3044F |
|
666 |
661 |
$0.00 |
| 96161 |
|
88 |
88 |
$0.00 |
| 3074F |
|
1,525 |
1,381 |
$0.00 |
| 85730 |
|
24 |
24 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
17 |
17 |
$0.00 |
| 92551 |
|
78 |
78 |
$0.00 |
| 92227 |
|
93 |
93 |
$0.00 |
| 3080F |
|
141 |
138 |
$0.00 |
| 87081 |
|
39 |
39 |
$0.00 |
| 84703 |
|
15 |
14 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
26 |
12 |
$0.00 |
| 86762 |
|
13 |
12 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
28 |
28 |
$0.00 |
| 90651 |
|
34 |
34 |
$0.00 |
| 90656 |
|
81 |
81 |
$0.00 |
| 92250 |
|
17 |
17 |
$0.00 |
| 99243 |
|
22 |
22 |
$0.00 |
| 73564 |
|
12 |
12 |
$0.00 |
| 97165 |
|
15 |
15 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
14 |
14 |
$0.00 |
| 97162 |
|
48 |
48 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 3078F |
|
1,503 |
1,359 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,932 |
1,840 |
$0.00 |
| 90461 |
|
38 |
38 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
76 |
75 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
592 |
589 |
$0.00 |
| 99442 |
|
3,714 |
3,439 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,967 |
6,024 |
$0.00 |
| 11721 |
|
16 |
16 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
70 |
70 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
163 |
162 |
$0.00 |
| 3077F |
|
242 |
234 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
415 |
413 |
$0.00 |
| 98966 |
|
48 |
42 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
210 |
210 |
$0.00 |
| 98960 |
|
115 |
104 |
$0.00 |
| 87338 |
|
14 |
14 |
$0.00 |
| 70310 |
|
17 |
17 |
$0.00 |
| 91300 |
|
52 |
51 |
$0.00 |
| G9920 |
Screening performed and negative |
143 |
143 |
$0.00 |
| 87210 |
|
37 |
37 |
$0.00 |
| 99242 |
|
17 |
17 |
$0.00 |
| 3051F |
|
41 |
41 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 99173 |
|
46 |
46 |
$0.00 |
| 90715 |
|
57 |
57 |
$0.00 |
| 90750 |
|
53 |
53 |
$0.00 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
13 |
13 |
$0.00 |
| 99245 |
|
19 |
18 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
27 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
23 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
18 |
18 |
$0.00 |
| 92134 |
|
34 |
34 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 99382 |
|
13 |
13 |
$0.00 |
| 86765 |
|
15 |
14 |
$0.00 |
| 97161 |
|
13 |
13 |
$0.00 |
| 92133 |
|
16 |
16 |
$0.00 |