| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,277 |
5,324 |
$255K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,479 |
3,944 |
$130K |
| 90834 |
Psychotherapy, 45 minutes with patient |
673 |
413 |
$21K |
| 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 |
124 |
115 |
$9K |
| 99215 |
Prolong outpt/office vis |
116 |
101 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
166 |
$5K |
| 90686 |
|
330 |
306 |
$3K |
| 0011A |
|
53 |
53 |
$2K |
| 0012A |
|
41 |
41 |
$2K |
| 92551 |
|
121 |
106 |
$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 |
88 |
79 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$836.93 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
25 |
24 |
$677.13 |
| 36415 |
Collection of venous blood by venipuncture |
667 |
597 |
$633.31 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
235 |
211 |
$333.23 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
42 |
$293.69 |
| 0134A |
|
12 |
12 |
$228.96 |
| 99173 |
|
34 |
29 |
$167.76 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
631 |
565 |
$63.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
111 |
$33.29 |