| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,887 |
7,780 |
$446K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,758 |
7,019 |
$279K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,870 |
1,850 |
$78K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,082 |
2,952 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
380 |
377 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
364 |
363 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
182 |
182 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,149 |
1,123 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
261 |
256 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
5,320 |
4,911 |
$10K |
| X5622 |
|
1,458 |
1,428 |
$10K |
| 80061 |
Lipid panel |
859 |
848 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
786 |
767 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,113 |
1,072 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
101 |
98 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
362 |
353 |
$6K |
| 90686 |
|
1,147 |
1,124 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
857 |
819 |
$5K |
| 92551 |
|
1,277 |
1,259 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
254 |
247 |
$5K |
| 80053 |
Comprehensive metabolic panel |
711 |
694 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
239 |
233 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
240 |
234 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
919 |
873 |
$4K |
| 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 |
44 |
44 |
$4K |
| 96127 |
|
1,241 |
1,208 |
$4K |
| 99442 |
|
140 |
105 |
$3K |
| 99188 |
|
385 |
385 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
315 |
307 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
55 |
$3K |
| 90682 |
|
66 |
65 |
$3K |
| 85027 |
|
587 |
561 |
$3K |
| 80050 |
General health panel |
27 |
26 |
$1K |
| 90651 |
|
74 |
72 |
$1K |
| 99173 |
|
1,271 |
1,255 |
$987.56 |
| 90670 |
|
132 |
130 |
$927.74 |
| 81001 |
|
407 |
389 |
$925.20 |
| 87081 |
|
167 |
163 |
$709.71 |
| 90662 |
|
14 |
14 |
$671.06 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
59 |
43 |
$648.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
40 |
$500.05 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
20 |
13 |
$485.78 |
| 99443 |
|
19 |
14 |
$483.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
56 |
53 |
$373.41 |
| 90715 |
|
75 |
69 |
$368.13 |
| 99441 |
|
36 |
24 |
$359.80 |
| 87210 |
|
144 |
138 |
$350.29 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
63 |
$312.28 |
| 86803 |
|
44 |
43 |
$300.71 |
| G0008 |
Administration of influenza virus vaccine |
111 |
99 |
$280.35 |
| 82607 |
|
14 |
14 |
$241.10 |
| 86780 |
|
24 |
24 |
$194.37 |
| 83655 |
|
13 |
13 |
$172.34 |
| 84439 |
|
12 |
12 |
$112.66 |
| 36416 |
|
19 |
16 |
$56.39 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
27 |
25 |
$41.11 |
| 85018 |
|
12 |
12 |
$31.96 |
| 98967 |
|
34 |
33 |
$0.00 |
| 90744 |
|
16 |
16 |
$0.00 |
| 84703 |
|
42 |
42 |
$0.00 |
| 82043 |
|
15 |
15 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90685 |
|
18 |
16 |
$0.00 |
| 90734 |
|
72 |
72 |
$0.00 |
| 90633 |
|
57 |
56 |
$0.00 |
| 98966 |
|
41 |
41 |
$0.00 |
| 99421 |
|
13 |
12 |
$0.00 |