| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,068 |
3,781 |
$352K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,622 |
2,454 |
$157K |
| 0001A |
|
1,940 |
1,919 |
$31K |
| 0002A |
|
1,574 |
1,561 |
$27K |
| 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 |
268 |
253 |
$23K |
| 90834 |
Psychotherapy, 45 minutes with patient |
213 |
141 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
3,136 |
2,970 |
$17K |
| 86480 |
|
93 |
89 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
155 |
148 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
155 |
148 |
$5K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
59 |
59 |
$4K |
| 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 |
169 |
163 |
$4K |
| 80061 |
Lipid panel |
269 |
265 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
138 |
133 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$3K |
| 86803 |
|
145 |
140 |
$2K |
| 87481 |
|
58 |
58 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
130 |
128 |
$2K |
| 90686 |
|
126 |
125 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
43 |
43 |
$1K |
| 99215 |
Prolong outpt/office vis |
16 |
15 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
146 |
141 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$967.60 |
| 80053 |
Comprehensive metabolic panel |
87 |
83 |
$867.02 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
80 |
80 |
$834.44 |
| 86706 |
|
74 |
70 |
$790.12 |
| 86780 |
|
50 |
50 |
$693.24 |
| 84443 |
Thyroid stimulating hormone (TSH) |
41 |
40 |
$639.27 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$569.36 |
| 85027 |
|
52 |
52 |
$347.62 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$347.16 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
70 |
68 |
$190.14 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26 |
24 |
$178.24 |
| 92551 |
|
12 |
12 |
$79.57 |
| 91300 |
|
191 |
174 |
$0.00 |