| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,411 |
9,556 |
$765K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,543 |
10,737 |
$569K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,784 |
1,717 |
$120K |
| 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 |
1,316 |
1,280 |
$103K |
| 36415 |
Collection of venous blood by venipuncture |
8,650 |
8,008 |
$34K |
| 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 |
1,176 |
1,143 |
$29K |
| 99215 |
Prolong outpt/office vis |
215 |
205 |
$26K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
654 |
636 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,474 |
1,383 |
$19K |
| 80061 |
Lipid panel |
1,183 |
1,152 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
156 |
156 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
202 |
196 |
$11K |
| 80053 |
Comprehensive metabolic panel |
1,117 |
1,065 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,071 |
1,043 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
814 |
781 |
$9K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
294 |
288 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
256 |
245 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
243 |
229 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
517 |
507 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
313 |
299 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
394 |
380 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
42 |
$5K |
| 85027 |
|
756 |
715 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
649 |
612 |
$5K |
| 90686 |
|
463 |
445 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
43 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
126 |
124 |
$3K |
| 87081 |
|
495 |
483 |
$3K |
| 96127 |
|
584 |
423 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
271 |
253 |
$2K |
| 99421 |
|
247 |
223 |
$2K |
| 86803 |
|
126 |
126 |
$2K |
| 90682 |
|
42 |
42 |
$2K |
| 87210 |
|
318 |
307 |
$2K |
| 81001 |
|
563 |
546 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
69 |
67 |
$1K |
| 99000 |
|
70 |
69 |
$821.28 |
| 80050 |
General health panel |
13 |
13 |
$637.60 |
| 82043 |
|
113 |
112 |
$621.35 |
| 92551 |
|
84 |
82 |
$579.13 |
| 99442 |
|
25 |
16 |
$455.12 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
179 |
167 |
$349.54 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
42 |
40 |
$327.12 |
| 86780 |
|
18 |
18 |
$239.13 |
| 82607 |
|
14 |
14 |
$222.62 |
| 87186 |
|
25 |
24 |
$202.35 |
| 82728 |
|
13 |
13 |
$187.10 |
| 99173 |
|
98 |
96 |
$153.61 |
| 99188 |
|
13 |
12 |
$136.29 |
| 93000 |
|
14 |
13 |
$111.54 |
| 81003 |
|
25 |
24 |
$52.52 |
| X5622 |
|
29 |
29 |
$0.00 |