| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,739 |
2,527 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,360 |
2,199 |
$125K |
| 36415 |
Collection of venous blood by venipuncture |
2,491 |
2,254 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
600 |
591 |
$7K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
54 |
54 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
189 |
187 |
$3K |
| 80061 |
Lipid panel |
199 |
198 |
$3K |
| 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 |
28 |
27 |
$3K |
| 80053 |
Comprehensive metabolic panel |
230 |
223 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$2K |
| 85027 |
|
320 |
311 |
$2K |
| 90686 |
|
204 |
204 |
$1K |
| 96127 |
|
231 |
201 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$720.63 |
| 0072A |
|
14 |
14 |
$569.88 |
| 0071A |
|
20 |
13 |
$557.99 |
| 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 |
13 |
12 |
$299.53 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
29 |
$267.38 |
| 92551 |
|
28 |
28 |
$160.20 |
| 82728 |
|
13 |
13 |
$157.55 |
| 81001 |
|
14 |
12 |
$41.11 |
| 90656 |
|
12 |
12 |
$21.43 |
| 99173 |
|
15 |
15 |
$8.93 |
| X5622 |
|
14 |
14 |
$0.00 |
| 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) |
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |