| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,007 |
7,340 |
$372K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,888 |
5,342 |
$350K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,201 |
3,153 |
$158K |
| 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 |
1,618 |
1,586 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
607 |
602 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,742 |
3,597 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,113 |
3,035 |
$35K |
| X5622 |
|
1,603 |
1,378 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
321 |
320 |
$23K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
688 |
679 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
277 |
262 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
7,054 |
6,585 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,226 |
1,210 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,129 |
566 |
$16K |
| 80061 |
Lipid panel |
1,085 |
1,066 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
161 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
757 |
739 |
$12K |
| 92551 |
|
1,518 |
1,499 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,203 |
1,183 |
$9K |
| 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 |
338 |
330 |
$9K |
| 87081 |
|
1,410 |
1,369 |
$9K |
| 85027 |
|
1,578 |
1,534 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
853 |
839 |
$7K |
| 96127 |
|
1,995 |
1,951 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
667 |
638 |
$7K |
| 83970 |
|
132 |
132 |
$6K |
| 84439 |
|
630 |
621 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
272 |
251 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
57 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
95 |
93 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
95 |
93 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
544 |
485 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
474 |
461 |
$3K |
| 90686 |
|
799 |
785 |
$3K |
| 84481 |
|
146 |
142 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
419 |
403 |
$3K |
| 99188 |
|
669 |
668 |
$3K |
| 81001 |
|
1,141 |
1,093 |
$3K |
| 80050 |
General health panel |
44 |
43 |
$2K |
| 80053 |
Comprehensive metabolic panel |
315 |
308 |
$2K |
| 90682 |
|
43 |
43 |
$2K |
| 99173 |
|
1,586 |
1,564 |
$2K |
| 84207 |
|
57 |
57 |
$2K |
| 82607 |
|
107 |
106 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
15 |
$1K |
| 83735 |
|
197 |
195 |
$1K |
| 0071A |
|
29 |
28 |
$1K |
| 81025 |
|
247 |
239 |
$1K |
| 0072A |
|
32 |
32 |
$944.43 |
| 82746 |
|
49 |
49 |
$841.64 |
| 86803 |
|
52 |
52 |
$816.21 |
| 87210 |
|
141 |
134 |
$797.38 |
| 0001A |
|
16 |
16 |
$777.19 |
| 84100 |
|
159 |
157 |
$740.58 |
| 0002A |
|
15 |
15 |
$733.20 |
| 90651 |
|
101 |
98 |
$600.23 |
| 81003 |
|
226 |
221 |
$499.59 |
| 80076 |
|
57 |
57 |
$387.71 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
13 |
$291.06 |
| 90670 |
|
192 |
186 |
$222.81 |
| 87807 |
|
15 |
14 |
$222.10 |
| 80047 |
|
99 |
88 |
$189.20 |
| 86780 |
|
15 |
15 |
$188.24 |
| 85652 |
|
53 |
52 |
$161.93 |
| 86140 |
|
25 |
25 |
$147.05 |
| 96161 |
|
97 |
73 |
$120.02 |
| 85018 |
|
24 |
24 |
$60.04 |
| 90715 |
|
24 |
24 |
$56.92 |
| 92552 |
|
43 |
42 |
$19.51 |
| 90734 |
|
77 |
76 |
$0.34 |
| 90723 |
|
58 |
56 |
$0.34 |
| 90647 |
|
82 |
79 |
$0.28 |
| 90633 |
|
29 |
29 |
$0.14 |
| 90687 |
|
100 |
100 |
$0.00 |
| 82947 |
|
20 |
19 |
$0.00 |
| 90685 |
|
44 |
44 |
$0.00 |
| 82248 |
|
12 |
12 |
$0.00 |
| 36416 |
|
56 |
53 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 82728 |
|
14 |
12 |
$0.00 |