| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,155 |
15,334 |
$619K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,577 |
8,293 |
$440K |
| W0037 |
|
3,870 |
3,870 |
$144K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
785 |
746 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,057 |
958 |
$62K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,327 |
1,259 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,470 |
2,269 |
$58K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,726 |
1,339 |
$44K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,031 |
927 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,614 |
900 |
$27K |
| 99215 |
Prolong outpt/office vis |
448 |
387 |
$27K |
| 80053 |
Comprehensive metabolic panel |
2,579 |
2,319 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
5,622 |
4,765 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,694 |
1,533 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,026 |
2,664 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,857 |
1,787 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,054 |
1,001 |
$18K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
671 |
506 |
$11K |
| 11721 |
|
767 |
739 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
560 |
537 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
121 |
107 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
296 |
273 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$4K |
| 87807 |
|
282 |
261 |
$4K |
| 99335 |
|
158 |
138 |
$4K |
| 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 |
55 |
55 |
$4K |
| 80061 |
Lipid panel |
283 |
267 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
410 |
344 |
$3K |
| 90686 |
|
520 |
511 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
285 |
272 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
42 |
$2K |
| 81001 |
|
755 |
649 |
$2K |
| 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) |
535 |
453 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
29 |
$1K |
| 98967 |
|
58 |
49 |
$1K |
| 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 |
56 |
56 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
27 |
$1K |
| 99442 |
|
64 |
58 |
$874.69 |
| 73630 |
|
43 |
38 |
$832.01 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
16 |
$769.65 |
| 99348 |
|
37 |
32 |
$741.69 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$691.68 |
| 90656 |
|
52 |
52 |
$622.70 |
| 90677 |
|
15 |
15 |
$577.32 |
| 98966 |
|
39 |
37 |
$432.37 |
| 81025 |
|
56 |
51 |
$430.50 |
| 90651 |
|
49 |
47 |
$383.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
54 |
52 |
$306.18 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
28 |
26 |
$195.84 |
| 85027 |
|
28 |
26 |
$155.28 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
42 |
40 |
$153.31 |
| 90715 |
|
44 |
43 |
$121.00 |
| 81003 |
|
29 |
25 |
$82.32 |
| 83690 |
|
13 |
12 |
$75.79 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
199 |
196 |
$0.00 |
| 90734 |
|
34 |
32 |
$0.00 |
| 91301 |
|
15 |
14 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |