| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,726 |
5,988 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,655 |
3,991 |
$77K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
534 |
470 |
$14K |
| 99490 |
Ccm add 20min |
1,887 |
1,784 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
419 |
383 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
373 |
334 |
$8K |
| 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 |
88 |
86 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
134 |
$2K |
| 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 |
73 |
73 |
$2K |
| 80053 |
Comprehensive metabolic panel |
475 |
422 |
$906.96 |
| 99215 |
Prolong outpt/office vis |
123 |
108 |
$879.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
523 |
460 |
$856.34 |
| 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) |
129 |
128 |
$686.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
73 |
68 |
$533.10 |
| 36415 |
Collection of venous blood by venipuncture |
906 |
794 |
$490.86 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
12 |
$345.69 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
157 |
135 |
$295.37 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
14 |
$234.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
239 |
218 |
$196.56 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$141.84 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
36 |
34 |
$86.26 |
| 80061 |
Lipid panel |
203 |
191 |
$23.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
88 |
$0.00 |
| 81003 |
|
84 |
73 |
$0.00 |
| 84439 |
|
64 |
57 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
71 |
69 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
105 |
95 |
$0.00 |
| 86900 |
|
27 |
27 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 82042 |
|
13 |
13 |
$0.00 |
| 83540 |
|
36 |
36 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 82570 |
|
18 |
17 |
$0.00 |
| 86885 |
|
28 |
28 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
15 |
15 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
178 |
163 |
$0.00 |
| 86780 |
|
56 |
55 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
59 |
58 |
$0.00 |
| 87807 |
|
13 |
12 |
$0.00 |
| 82728 |
|
39 |
39 |
$0.00 |
| 82962 |
|
13 |
13 |
$0.00 |
| 82043 |
|
14 |
14 |
$0.00 |
| 82607 |
|
28 |
28 |
$0.00 |
| 87428 |
|
169 |
160 |
$0.00 |
| 87088 |
|
121 |
108 |
$0.00 |
| 86901 |
|
27 |
27 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
38 |
35 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
88 |
76 |
$0.00 |
| 81001 |
|
30 |
26 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
79 |
73 |
$0.00 |
| 86762 |
|
27 |
27 |
$0.00 |
| 87340 |
|
73 |
67 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
326 |
233 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
12 |
12 |
$0.00 |
| 83550 |
|
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$0.00 |