| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
367 |
351 |
$44K |
| 80061 |
Lipid panel |
457 |
447 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
367 |
322 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
258 |
256 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
264 |
251 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
264 |
241 |
$5K |
| 85045 |
|
182 |
180 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
29 |
29 |
$2K |
| 85027 |
|
92 |
89 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$2K |
| 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 |
16 |
14 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 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 |
14 |
$774.35 |
| 85007 |
|
79 |
76 |
$678.22 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16 |
14 |
$590.49 |
| 90461 |
|
17 |
15 |
$567.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
40 |
$479.75 |
| 83030 |
|
18 |
18 |
$361.52 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$285.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
19 |
$158.35 |
| 1036F |
|
27 |
26 |
$0.27 |
| 3078F |
|
13 |
13 |
$0.13 |
| 90686 |
|
13 |
13 |
$0.13 |
| 3079F |
|
12 |
12 |
$0.12 |