| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,348 |
2,914 |
$207K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,631 |
2,960 |
$191K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
824 |
707 |
$109K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
737 |
618 |
$62K |
| 99199 |
Unlisted special service, procedure or report |
8,512 |
8,204 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
208 |
189 |
$25K |
| 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 |
133 |
100 |
$8K |
| 99051 |
|
281 |
263 |
$7K |
| 80053 |
Comprehensive metabolic panel |
859 |
710 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
402 |
322 |
$6K |
| 80061 |
Lipid panel |
463 |
379 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
451 |
375 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
134 |
117 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
84 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,641 |
1,462 |
$3K |
| 85027 |
|
511 |
408 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
51 |
38 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
187 |
168 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
172 |
140 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
197 |
182 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 96127 |
|
145 |
127 |
$523.69 |
| 92551 |
|
86 |
65 |
$186.53 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
76 |
56 |
$166.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$140.46 |
| 3074F |
|
1,482 |
1,262 |
$108.32 |
| 3079F |
|
420 |
368 |
$108.32 |
| 99173 |
|
89 |
65 |
$56.70 |
| 90686 |
|
36 |
25 |
$37.60 |
| 81003 |
|
20 |
12 |
$28.66 |
| 3078F |
|
1,964 |
1,694 |
$5.05 |
| 3077F |
|
83 |
72 |
$0.00 |
| 90687 |
|
15 |
12 |
$0.00 |
| 3075F |
|
608 |
526 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 3044F |
|
207 |
179 |
$0.00 |
| 3080F |
|
25 |
21 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |