| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
103,980 |
89,937 |
$15.17M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,911 |
1,844 |
$68K |
| 0012A |
|
1,132 |
1,125 |
$38K |
| 0011A |
|
1,237 |
1,217 |
$31K |
| 0064A |
|
508 |
508 |
$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 |
238 |
230 |
$13K |
| 0134A |
|
135 |
135 |
$6K |
| 87428 |
|
436 |
430 |
$5K |
| 0013A |
|
19 |
19 |
$748.00 |
| 80061 |
Lipid panel |
2,502 |
2,493 |
$629.39 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,070 |
1,068 |
$613.65 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
3,414 |
2,897 |
$424.59 |
| 80053 |
Comprehensive metabolic panel |
2,519 |
2,487 |
$372.95 |
| 3078F |
|
31,108 |
29,560 |
$358.82 |
| 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 |
238 |
230 |
$355.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,288 |
1,274 |
$301.73 |
| 3074F |
|
33,889 |
32,101 |
$273.82 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,682 |
2,619 |
$259.77 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,294 |
2,284 |
$254.71 |
| 90686 |
|
571 |
475 |
$100.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,010 |
3,957 |
$90.00 |
| 82607 |
|
799 |
796 |
$52.00 |
| 82043 |
|
323 |
323 |
$48.00 |
| 96127 |
|
1,760 |
1,744 |
$45.00 |
| 82570 |
|
356 |
352 |
$42.90 |
| 3075F |
|
7,265 |
7,112 |
$25.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
6,431 |
6,358 |
$19.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,300 |
2,062 |
$15.41 |
| 90700 |
|
20 |
13 |
$10.00 |
| 86580 |
|
218 |
174 |
$9.90 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
360 |
355 |
$9.36 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
186 |
154 |
$6.00 |
| 81025 |
|
170 |
163 |
$4.00 |
| 80050 |
General health panel |
604 |
604 |
$0.00 |
| 91306 |
|
43 |
43 |
$0.00 |
| 3008F |
|
45,766 |
43,019 |
$0.00 |
| 3061F |
|
235 |
235 |
$0.00 |
| 99441 |
|
828 |
804 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,653 |
3,629 |
$0.00 |
| 3014F |
|
559 |
546 |
$0.00 |
| 1157F |
|
712 |
694 |
$0.00 |
| 3044F |
|
1,704 |
1,699 |
$0.00 |
| 84436 |
|
295 |
294 |
$0.00 |
| 3351F |
|
3,483 |
3,466 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,994 |
34,668 |
$0.00 |
| 1111F |
|
2,634 |
2,588 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,282 |
10,865 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
260 |
256 |
$0.00 |
| 99496 |
|
826 |
805 |
$0.00 |
| 82746 |
|
134 |
133 |
$0.00 |
| 84479 |
|
264 |
263 |
$0.00 |
| 1036F |
|
12,988 |
12,387 |
$0.00 |
| 1035F |
|
883 |
865 |
$0.00 |
| 3017F |
|
619 |
612 |
$0.00 |
| 1000F |
|
7,479 |
7,164 |
$0.00 |
| 3080F |
|
3,822 |
3,680 |
$0.00 |
| 3352F |
|
199 |
199 |
$0.00 |
| 83550 |
|
130 |
129 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
150 |
145 |
$0.00 |
| 1034F |
|
11,998 |
11,461 |
$0.00 |
| 99406 |
|
1,314 |
1,287 |
$0.00 |
| 81001 |
|
165 |
161 |
$0.00 |
| 99385 |
|
226 |
226 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,193 |
1,189 |
$0.00 |
| 91301 |
|
2,887 |
2,811 |
$0.00 |
| 97802 |
|
390 |
385 |
$0.00 |
| 4000F |
|
1,528 |
1,498 |
$0.00 |
| 3079F |
|
12,008 |
11,689 |
$0.00 |
| 99495 |
|
512 |
510 |
$0.00 |
| 3354F |
|
510 |
504 |
$0.00 |
| 92551 |
|
760 |
755 |
$0.00 |
| 1031F |
|
2,656 |
2,556 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
83 |
83 |
$0.00 |
| 1170F |
|
16 |
16 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
64 |
64 |
$0.00 |
| 3060F |
|
70 |
70 |
$0.00 |
| 93000 |
|
146 |
143 |
$0.00 |
| 92283 |
|
237 |
237 |
$0.00 |
| 3353F |
|
400 |
396 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
124 |
106 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
24 |
24 |
$0.00 |
| 99384 |
|
14 |
14 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 90620 |
|
18 |
13 |
$0.00 |
| 3052F |
|
29 |
29 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
16 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
18 |
$0.00 |
| 90651 |
|
39 |
39 |
$0.00 |
| 99349 |
|
13 |
13 |
$0.00 |
| 1159F |
|
48,009 |
44,927 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
814 |
679 |
$0.00 |
| 99442 |
|
611 |
594 |
$0.00 |
| 82465 |
|
290 |
290 |
$0.00 |
| 81003 |
|
1,231 |
1,210 |
$0.00 |
| 11721 |
|
314 |
314 |
$0.00 |
| 90715 |
|
189 |
166 |
$0.00 |
| 4019F |
|
213 |
211 |
$0.00 |
| 99173 |
|
1,185 |
1,176 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
462 |
448 |
$0.00 |
| 1033F |
|
120 |
115 |
$0.00 |
| 3015F |
|
712 |
708 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,921 |
1,880 |
$0.00 |
| 96160 |
|
6,038 |
5,769 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,244 |
3,138 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,386 |
2,374 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
458 |
453 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,099 |
1,092 |
$0.00 |
| G9920 |
Screening performed and negative |
5,162 |
5,000 |
$0.00 |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
3,877 |
3,717 |
$0.00 |
| 84439 |
|
53 |
53 |
$0.00 |
| 83721 |
|
255 |
255 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
702 |
695 |
$0.00 |
| D1999 |
|
377 |
345 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
3,010 |
2,981 |
$0.00 |
| 3046F |
|
140 |
140 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,870 |
1,860 |
$0.00 |
| 3077F |
|
5,815 |
5,575 |
$0.00 |
| 1160F |
|
416 |
359 |
$0.00 |
| 83540 |
|
142 |
141 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
76 |
70 |
$0.00 |
| 99080 |
|
9,193 |
9,027 |
$0.00 |
| 1100F |
|
165 |
165 |
$0.00 |
| 80076 |
|
12 |
12 |
$0.00 |
| 90734 |
|
118 |
95 |
$0.00 |
| 99408 |
|
56 |
56 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
128 |
126 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
149 |
147 |
$0.00 |
| D1110 |
Prophylaxis - adult |
109 |
109 |
$0.00 |
| 99499 |
|
559 |
555 |
$0.00 |
| 3051F |
|
56 |
55 |
$0.00 |
| 3288F |
|
228 |
228 |
$0.00 |
| 90682 |
|
43 |
43 |
$0.00 |
| 91313 |
|
128 |
128 |
$0.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |
| 99348 |
|
99 |
91 |
$0.00 |
| 90649 |
|
26 |
14 |
$0.00 |
| 91322 |
|
31 |
31 |
$0.00 |
| 90633 |
|
22 |
12 |
$0.00 |
| 11307 |
|
28 |
28 |
$0.00 |