| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,038 |
6,525 |
$472K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,063 |
8,376 |
$447K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
7,918 |
7,631 |
$297K |
| X5622 |
|
2,823 |
2,686 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,409 |
1,363 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,741 |
2,626 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,230 |
1,182 |
$70K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,869 |
2,783 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
435 |
430 |
$30K |
| 90461 |
|
1,291 |
1,234 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
5,282 |
4,917 |
$18K |
| 99188 |
|
2,302 |
2,253 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
883 |
870 |
$16K |
| 92551 |
|
2,301 |
2,242 |
$15K |
| 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 |
155 |
153 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,083 |
1,661 |
$10K |
| 96127 |
|
2,281 |
2,052 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
82 |
$5K |
| 90686 |
|
1,541 |
1,507 |
$5K |
| 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 |
155 |
153 |
$4K |
| 80061 |
Lipid panel |
245 |
239 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
63 |
61 |
$3K |
| 99173 |
|
2,194 |
2,141 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
245 |
235 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
88 |
85 |
$1K |
| 90480 |
|
45 |
45 |
$1K |
| 90670 |
|
674 |
655 |
$1K |
| 80053 |
Comprehensive metabolic panel |
97 |
96 |
$1K |
| 99460 |
|
16 |
12 |
$821.87 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$750.48 |
| 90656 |
|
166 |
166 |
$581.01 |
| 90688 |
|
238 |
236 |
$564.81 |
| 0071A |
|
12 |
12 |
$520.10 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$435.11 |
| 96161 |
|
251 |
244 |
$337.72 |
| 99000 |
|
25 |
25 |
$293.28 |
| 85018 |
|
135 |
125 |
$251.55 |
| 83655 |
|
14 |
14 |
$177.92 |
| 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) |
59 |
56 |
$111.17 |
| 85027 |
|
15 |
15 |
$101.92 |
| 36416 |
|
15 |
14 |
$48.60 |
| 90648 |
|
577 |
564 |
$10.36 |
| 90734 |
|
26 |
25 |
$0.00 |
| 90685 |
|
73 |
70 |
$0.00 |
| 90633 |
|
66 |
64 |
$0.00 |
| 90700 |
|
31 |
28 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90680 |
|
212 |
207 |
$0.00 |
| 90723 |
|
252 |
247 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |