| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,100 |
11,447 |
$1.58M |
| 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 |
15,725 |
10,486 |
$891K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29,034 |
22,463 |
$717K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,884 |
4,409 |
$451K |
| 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 |
15,692 |
10,471 |
$295K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,731 |
3,827 |
$202K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
478 |
429 |
$51K |
| 0001A |
|
746 |
491 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
63 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
248 |
237 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
84 |
84 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
146 |
123 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
13 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
12 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
41 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$1K |
| 80061 |
Lipid panel |
132 |
112 |
$1K |
| 0002A |
|
308 |
165 |
$936.51 |
| 80050 |
General health panel |
14 |
12 |
$580.43 |
| 80053 |
Comprehensive metabolic panel |
86 |
72 |
$459.04 |
| 96127 |
|
76 |
29 |
$208.50 |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
27 |
$200.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
74 |
64 |
$187.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$164.45 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$131.89 |
| 85027 |
|
29 |
26 |
$119.93 |
| 36415 |
Collection of venous blood by venipuncture |
1,762 |
1,261 |
$72.00 |
| 81002 |
|
214 |
154 |
$31.80 |
| 81001 |
|
12 |
12 |
$28.53 |
| 91300 |
|
1,052 |
618 |
$0.00 |