| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,717 |
6,192 |
$370K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,336 |
3,038 |
$264K |
| 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 |
261 |
254 |
$22K |
| 99215 |
Prolong outpt/office vis |
91 |
78 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
1,919 |
1,758 |
$8K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
448 |
444 |
$7K |
| 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 |
221 |
215 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
63 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
89 |
89 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
47 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
165 |
165 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
313 |
302 |
$3K |
| 92551 |
|
278 |
277 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
42 |
42 |
$2K |
| 90686 |
|
209 |
207 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
40 |
$383.84 |
| 99173 |
|
257 |
255 |
$237.31 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$233.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
26 |
$214.44 |
| 80061 |
Lipid panel |
15 |
14 |
$198.96 |
| 96127 |
|
48 |
47 |
$148.57 |
| 87081 |
|
17 |
16 |
$118.20 |
| 90715 |
|
14 |
14 |
$76.20 |
| X5622 |
|
118 |
118 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |