| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,338 |
5,763 |
$358K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,911 |
3,632 |
$309K |
| 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 |
145 |
141 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
1,704 |
1,594 |
$8K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
347 |
341 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
112 |
112 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
55 |
26 |
$4K |
| X5622 |
|
60 |
60 |
$4K |
| 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 |
126 |
122 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
115 |
$2K |
| 92551 |
|
176 |
176 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90686 |
|
178 |
177 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
15 |
$502.50 |
| 99173 |
|
183 |
182 |
$298.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
37 |
$228.90 |
| 96127 |
|
40 |
40 |
$178.88 |
| 0001A |
|
14 |
14 |
$137.20 |
| 90734 |
|
12 |
12 |
$0.00 |