| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
1,491 |
1,125 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,403 |
10,784 |
$44K |
| 99215 |
Prolong outpt/office vis |
203 |
181 |
$12K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,227 |
198 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,145 |
1,996 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,050 |
995 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
123 |
95 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
79 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,036 |
982 |
$4K |
| 80061 |
Lipid panel |
2,469 |
2,463 |
$3K |
| 80053 |
Comprehensive metabolic panel |
2,871 |
2,813 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,077 |
2,064 |
$3K |
| 99199 |
Unlisted special service, procedure or report |
193 |
174 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,832 |
2,734 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
95 |
82 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,047 |
2,040 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,293 |
1,288 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
127 |
127 |
$1K |
| 59425 |
|
78 |
39 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
54 |
$757.55 |
| 90686 |
|
147 |
147 |
$734.94 |
| 92081 |
|
589 |
588 |
$723.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
891 |
790 |
$705.50 |
| S9083 |
Global fee urgent care centers |
82 |
75 |
$675.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
250 |
249 |
$660.15 |
| 97014 |
|
53 |
15 |
$635.24 |
| 92557 |
|
459 |
459 |
$566.30 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
483 |
480 |
$520.96 |
| 92552 |
|
25 |
25 |
$413.00 |
| 97139 |
|
391 |
78 |
$388.78 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
531 |
521 |
$325.75 |
| 86592 |
|
555 |
543 |
$205.84 |
| 84439 |
|
664 |
663 |
$195.13 |
| 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 |
500 |
396 |
$175.00 |
| 85018 |
|
392 |
386 |
$173.01 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
55 |
17 |
$150.74 |
| 90688 |
|
160 |
160 |
$149.60 |
| 83540 |
|
220 |
218 |
$146.42 |
| 81003 |
|
1,041 |
1,028 |
$131.90 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
53 |
15 |
$81.87 |
| 82043 |
|
205 |
205 |
$75.45 |
| 99174 |
|
1,106 |
1,099 |
$70.03 |
| 81000 |
|
26 |
26 |
$66.30 |
| 36415 |
Collection of venous blood by venipuncture |
2,219 |
2,124 |
$60.44 |
| 3008F |
|
494 |
469 |
$54.00 |
| 84550 |
|
261 |
260 |
$45.00 |
| 81001 |
|
228 |
226 |
$38.15 |
| 83550 |
|
159 |
158 |
$34.17 |
| 90685 |
|
27 |
27 |
$25.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
238 |
238 |
$12.36 |
| 83735 |
|
121 |
120 |
$4.82 |
| 85027 |
|
167 |
167 |
$4.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
879 |
872 |
$4.42 |
| 84481 |
|
49 |
49 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
214 |
120 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
172 |
167 |
$0.00 |
| 85014 |
|
188 |
185 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
285 |
188 |
$0.00 |
| 3725F |
|
105 |
105 |
$0.00 |
| 97803 |
|
52 |
45 |
$0.00 |
| 81002 |
|
226 |
216 |
$0.00 |
| 99401 |
|
291 |
273 |
$0.00 |
| 87186 |
|
38 |
38 |
$0.00 |
| 83655 |
|
68 |
68 |
$0.00 |
| 99173 |
|
167 |
167 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 86038 |
|
111 |
110 |
$0.00 |
| 99072 |
|
136 |
122 |
$0.00 |
| 3078F |
|
106 |
97 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
109 |
109 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
15 |
15 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
43 |
14 |
$0.00 |
| 82570 |
|
75 |
75 |
$0.00 |
| 83013 |
|
12 |
12 |
$0.00 |
| 3046F |
|
13 |
12 |
$0.00 |
| 97163 |
|
187 |
75 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$0.00 |
| 86431 |
|
30 |
30 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
72 |
72 |
$0.00 |
| 96160 |
|
20 |
20 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 86677 |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$0.00 |
| 80074 |
|
14 |
14 |
$0.00 |
| 85610 |
|
13 |
13 |
$0.00 |
| 93000 |
|
63 |
62 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
288 |
270 |
$0.00 |
| 3074F |
|
179 |
160 |
$0.00 |
| 82150 |
|
98 |
97 |
$0.00 |
| 3072F |
|
62 |
54 |
$0.00 |
| 84479 |
|
76 |
76 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 84436 |
|
133 |
133 |
$0.00 |
| 86140 |
|
142 |
141 |
$0.00 |
| 92551 |
|
161 |
161 |
$0.00 |
| 85652 |
|
27 |
27 |
$0.00 |
| 1036F |
|
30 |
27 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
48 |
48 |
$0.00 |
| 99000 |
|
402 |
384 |
$0.00 |
| 93040 |
|
32 |
32 |
$0.00 |
| 99050 |
|
60 |
59 |
$0.00 |
| 82962 |
|
37 |
30 |
$0.00 |
| 87088 |
|
82 |
82 |
$0.00 |
| 84153 |
|
26 |
25 |
$0.00 |
| 88142 |
|
12 |
12 |
$0.00 |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
21 |
13 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
14 |
$0.00 |
| 82607 |
|
13 |
13 |
$0.00 |
| 96156 |
|
12 |
12 |
$0.00 |