| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,710 |
3,453 |
$212K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,201 |
2,092 |
$188K |
| 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 |
332 |
328 |
$30K |
| 0002A |
|
1,112 |
1,105 |
$19K |
| 0001A |
|
1,206 |
1,192 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
2,021 |
1,899 |
$10K |
| 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 |
187 |
185 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
124 |
123 |
$4K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
446 |
440 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
256 |
247 |
$2K |
| 90686 |
|
250 |
247 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
106 |
$1K |
| 92551 |
|
165 |
162 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 80061 |
Lipid panel |
73 |
71 |
$866.76 |
| 86803 |
|
39 |
38 |
$563.33 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
14 |
14 |
$366.91 |
| 99173 |
|
154 |
151 |
$250.32 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
12 |
$109.78 |
| 90656 |
|
12 |
12 |
$63.43 |
| 96127 |
|
16 |
15 |
$57.91 |
| 90651 |
|
12 |
12 |
$0.00 |
| 91300 |
|
141 |
130 |
$0.00 |
| X5622 |
|
46 |
45 |
$0.00 |