| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,540 |
2,398 |
$192K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,812 |
2,647 |
$148K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
495 |
487 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
817 |
793 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,516 |
2,277 |
$8K |
| 90686 |
|
391 |
379 |
$2K |
| 96127 |
|
396 |
390 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 92551 |
|
159 |
157 |
$924.52 |
| 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 |
16 |
13 |
$914.90 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$903.89 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
24 |
$372.42 |
| 80053 |
Comprehensive metabolic panel |
30 |
26 |
$309.64 |
| 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 |
13 |
$301.94 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
60 |
54 |
$247.38 |
| 85027 |
|
38 |
36 |
$228.46 |
| 80061 |
Lipid panel |
16 |
15 |
$212.37 |
| 99173 |
|
157 |
156 |
$189.77 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
13 |
$95.75 |
| 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) |
29 |
29 |
$37.53 |
| 99188 |
|
13 |
13 |
$0.08 |