| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,509 |
2,014 |
$283.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
298 |
243 |
$18.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,231 |
1,222 |
$6.75 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
495 |
432 |
$0.00 |
| 80061 |
Lipid panel |
1,099 |
1,098 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
837 |
803 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
329 |
328 |
$0.00 |
| 99173 |
|
431 |
429 |
$0.00 |
| 90461 |
|
209 |
208 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
382 |
378 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,083 |
958 |
$0.00 |
| 86703 |
|
121 |
121 |
$0.00 |
| G9920 |
Screening performed and negative |
106 |
106 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
535 |
529 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
390 |
344 |
$0.00 |
| 99442 |
|
105 |
103 |
$0.00 |
| 3078F |
|
418 |
400 |
$0.00 |
| 90633 |
|
57 |
57 |
$0.00 |
| 83655 |
|
26 |
26 |
$0.00 |
| 99201 |
|
17 |
17 |
$0.00 |
| 90649 |
|
34 |
34 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |
| 90670 |
|
47 |
47 |
$0.00 |
| 85014 |
|
142 |
142 |
$0.00 |
| 96160 |
|
19 |
19 |
$0.00 |
| 92565 |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
30 |
$0.00 |
| 81003 |
|
13 |
13 |
$0.00 |
| 90648 |
|
24 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,731 |
2,661 |
$0.00 |
| 99441 |
|
580 |
530 |
$0.00 |
| 90686 |
|
255 |
255 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
540 |
540 |
$0.00 |
| 85018 |
|
142 |
142 |
$0.00 |
| 3074F |
|
430 |
413 |
$0.00 |
| 85027 |
|
242 |
241 |
$0.00 |
| 92551 |
|
201 |
200 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
756 |
752 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 82728 |
|
26 |
26 |
$0.00 |
| 90656 |
|
30 |
30 |
$0.00 |
| 96161 |
|
45 |
45 |
$0.00 |
| 3044F |
|
48 |
48 |
$0.00 |
| 1111F |
|
179 |
175 |
$0.00 |
| 4450F |
|
359 |
350 |
$0.00 |
| 86780 |
|
28 |
28 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$0.00 |
| 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 |
16 |
16 |
$0.00 |