| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
648 |
552 |
$320K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
6,427 |
4,568 |
$86K |
| G9012 |
Other specified case management service not elsewhere classified |
44 |
41 |
$411.54 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,288 |
3,257 |
$290.46 |
| 80061 |
Lipid panel |
5,718 |
5,675 |
$224.61 |
| 87522 |
Neg quan hep c or qual rna |
1,096 |
1,081 |
$206.67 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,793 |
6,721 |
$166.20 |
| 80053 |
Comprehensive metabolic panel |
5,938 |
5,414 |
$137.40 |
| 86703 |
|
1,869 |
1,861 |
$112.87 |
| 82274 |
|
1,594 |
1,592 |
$98.28 |
| 83970 |
|
120 |
119 |
$68.98 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,249 |
3,819 |
$66.94 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,110 |
2,964 |
$50.47 |
| 90686 |
|
356 |
356 |
$50.03 |
| 82043 |
|
1,617 |
1,589 |
$45.37 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,122 |
1,099 |
$43.83 |
| 85027 |
|
2,040 |
1,993 |
$39.61 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,879 |
1,863 |
$37.13 |
| 82540 |
|
1,617 |
1,589 |
$36.80 |
| 80074 |
|
276 |
276 |
$34.51 |
| 86780 |
|
648 |
643 |
$33.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,115 |
2,087 |
$30.98 |
| 86706 |
|
270 |
270 |
$28.23 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
658 |
641 |
$26.83 |
| 82607 |
|
565 |
558 |
$26.40 |
| 82746 |
|
400 |
395 |
$25.88 |
| 82728 |
|
663 |
649 |
$23.90 |
| 86705 |
|
161 |
161 |
$20.54 |
| 87340 |
|
459 |
458 |
$18.06 |
| 84153 |
|
328 |
322 |
$16.19 |
| 84439 |
|
262 |
248 |
$15.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,514 |
4,301 |
$14.01 |
| 85610 |
|
918 |
718 |
$13.84 |
| 83550 |
|
675 |
666 |
$13.64 |
| 83540 |
|
696 |
687 |
$11.32 |
| 84460 |
|
1,147 |
1,140 |
$9.06 |
| 84450 |
|
1,226 |
1,219 |
$8.74 |
| 84100 |
|
515 |
439 |
$8.34 |
| 80076 |
|
345 |
344 |
$6.32 |
| 83735 |
|
1,126 |
855 |
$5.90 |
| 81001 |
|
926 |
884 |
$5.48 |
| 85730 |
|
122 |
119 |
$5.29 |
| 82570 |
|
585 |
536 |
$4.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
218 |
215 |
$4.42 |
| 81003 |
|
536 |
512 |
$3.88 |
| 99442 |
|
922 |
895 |
$0.00 |
| 3077F |
|
380 |
360 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
282 |
282 |
$0.00 |
| 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 |
257 |
245 |
$0.00 |
| 77062 |
|
744 |
744 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
682 |
677 |
$0.00 |
| 90750 |
|
295 |
295 |
$0.00 |
| 3078F |
|
2,314 |
2,198 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
827 |
827 |
$0.00 |
| 82565 |
|
425 |
418 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$0.00 |
| 3046F |
|
190 |
186 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,423 |
730 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
862 |
848 |
$0.00 |
| 97161 |
|
120 |
119 |
$0.00 |
| 3051F |
|
180 |
177 |
$0.00 |
| 99242 |
|
14 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
179 |
$0.00 |
| 84155 |
|
13 |
12 |
$0.00 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
223 |
170 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25 |
25 |
$0.00 |
| 84520 |
|
38 |
37 |
$0.00 |
| 86480 |
|
148 |
147 |
$0.00 |
| 87338 |
|
48 |
48 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$0.00 |
| 84550 |
|
12 |
12 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
52 |
52 |
$0.00 |
| 98966 |
|
35 |
33 |
$0.00 |
| 86900 |
|
21 |
13 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$0.00 |
| 90653 |
|
18 |
18 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$0.00 |
| 99441 |
|
435 |
418 |
$0.00 |
| 86141 |
|
562 |
553 |
$0.00 |
| 3080F |
|
123 |
121 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
530 |
377 |
$0.00 |
| 1220F |
|
1,366 |
1,341 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13,277 |
11,718 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,339 |
5,218 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
681 |
676 |
$0.00 |
| 97010 |
|
484 |
299 |
$0.00 |
| 86901 |
|
21 |
13 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
134 |
90 |
$0.00 |
| 99385 |
|
15 |
15 |
$0.00 |
| 3074F |
|
1,866 |
1,773 |
$0.00 |
| 3079F |
|
376 |
370 |
$0.00 |
| 3052F |
|
66 |
65 |
$0.00 |
| 1111F |
|
658 |
639 |
$0.00 |
| 3075F |
|
419 |
413 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
243 |
164 |
$0.00 |
| 99443 |
|
287 |
282 |
$0.00 |
| 92227 |
|
42 |
42 |
$0.00 |
| 85652 |
|
545 |
536 |
$0.00 |
| 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 |
271 |
260 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
75 |
$0.00 |
| 3044F |
|
987 |
980 |
$0.00 |
| 90656 |
|
139 |
139 |
$0.00 |
| 81000 |
|
94 |
83 |
$0.00 |
| 90677 |
|
76 |
76 |
$0.00 |
| 84132 |
|
52 |
51 |
$0.00 |
| 92250 |
|
25 |
25 |
$0.00 |