| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,958 |
12,599 |
$516K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
9,982 |
9,139 |
$463K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,116 |
8,104 |
$380K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,672 |
9,151 |
$252K |
| 80305 |
|
7,347 |
5,681 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
160 |
133 |
$14K |
| 80348 |
|
585 |
554 |
$12K |
| 80346 |
|
585 |
554 |
$12K |
| 80354 |
|
583 |
553 |
$12K |
| 80373 |
|
584 |
554 |
$11K |
| 80370 |
|
584 |
554 |
$10K |
| 80364 |
|
480 |
449 |
$9K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
572 |
542 |
$9K |
| 80325 |
|
585 |
555 |
$9K |
| 80355 |
|
588 |
556 |
$8K |
| 80368 |
|
585 |
554 |
$8K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
353 |
311 |
$8K |
| 80349 |
|
584 |
554 |
$7K |
| 80366 |
|
548 |
518 |
$7K |
| 80323 |
|
237 |
220 |
$7K |
| 80358 |
|
349 |
326 |
$7K |
| 80365 |
|
363 |
330 |
$6K |
| 80353 |
|
345 |
324 |
$5K |
| 80360 |
|
335 |
312 |
$5K |
| 80338 |
|
222 |
207 |
$4K |
| 81003 |
|
5,508 |
4,328 |
$4K |
| 99406 |
|
481 |
391 |
$4K |
| 93880 |
|
28 |
26 |
$4K |
| 80357 |
|
222 |
207 |
$3K |
| 80359 |
|
222 |
207 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
211 |
177 |
$3K |
| 80356 |
|
109 |
102 |
$2K |
| 80061 |
Lipid panel |
403 |
318 |
$2K |
| 80053 |
Comprehensive metabolic panel |
616 |
497 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
862 |
689 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
300 |
180 |
$2K |
| 99454 |
|
126 |
119 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,707 |
1,549 |
$2K |
| 80362 |
|
363 |
330 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
129 |
104 |
$2K |
| G0482 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed |
19 |
16 |
$2K |
| 80050 |
General health panel |
53 |
42 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
319 |
247 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
296 |
195 |
$1K |
| 84439 |
|
213 |
174 |
$1K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
78 |
50 |
$1K |
| 82607 |
|
137 |
114 |
$976.41 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
13 |
$715.51 |
| 84480 |
|
48 |
45 |
$445.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$326.92 |
| 99491 |
Ccm add 20min |
36 |
30 |
$312.66 |
| 94010 |
|
19 |
15 |
$280.11 |
| 99407 |
|
24 |
13 |
$275.00 |
| 72100 |
|
25 |
14 |
$250.52 |
| 83735 |
|
69 |
56 |
$241.62 |
| 84436 |
|
49 |
45 |
$195.80 |
| 36415 |
Collection of venous blood by venipuncture |
366 |
321 |
$184.77 |
| 99490 |
Ccm add 20min |
21 |
21 |
$139.50 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
32 |
30 |
$132.99 |
| 99457 |
|
125 |
120 |
$103.47 |
| 86140 |
|
47 |
42 |
$81.66 |
| 85651 |
|
58 |
40 |
$77.18 |
| 84443 |
Thyroid stimulating hormone (TSH) |
31 |
27 |
$58.51 |
| 80076 |
|
13 |
13 |
$58.35 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
18 |
13 |
$31.68 |
| 96127 |
|
19 |
12 |
$29.37 |
| 3078F |
|
34 |
31 |
$10.00 |
| 3074F |
|
143 |
129 |
$10.00 |
| 96160 |
|
61 |
42 |
$0.51 |
| 1159F |
|
953 |
840 |
$0.00 |
| 1160F |
|
1,015 |
889 |
$0.00 |
| 99487 |
Ccm add 20min |
16 |
12 |
$0.00 |
| 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) |
18 |
14 |
$0.00 |
| 3008F |
|
716 |
623 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
29 |
19 |
$0.00 |
| 1125F |
|
685 |
610 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
27 |
$0.00 |
| 1126F |
|
124 |
107 |
$0.00 |
| 1170F |
|
85 |
77 |
$0.00 |
| 3079F |
|
55 |
46 |
$0.00 |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
13 |
12 |
$0.00 |
| 94760 |
|
15 |
14 |
$0.00 |