| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,863 |
2,644 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,538 |
2,404 |
$140K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,051 |
618 |
$60K |
| 0002A |
|
1,324 |
1,320 |
$28K |
| 0001A |
|
1,389 |
1,384 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
2,036 |
1,889 |
$7K |
| 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 |
16 |
$1K |
| 80061 |
Lipid panel |
80 |
80 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$927.89 |
| 0064A |
|
26 |
25 |
$801.15 |
| 92551 |
|
102 |
99 |
$702.50 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
160 |
158 |
$486.86 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
54 |
54 |
$478.25 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
58 |
57 |
$430.74 |
| 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 |
16 |
16 |
$397.12 |
| 90686 |
|
46 |
46 |
$395.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
37 |
$356.31 |
| 80053 |
Comprehensive metabolic panel |
32 |
32 |
$330.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$280.60 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$219.88 |
| 99173 |
|
91 |
88 |
$138.87 |
| 96127 |
|
27 |
26 |
$119.01 |
| 91300 |
|
137 |
125 |
$0.00 |