| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,006 |
16,072 |
$1.30M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,616 |
9,733 |
$526K |
| 36415 |
Collection of venous blood by venipuncture |
13,705 |
12,769 |
$49K |
| 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 |
551 |
538 |
$44K |
| 80061 |
Lipid panel |
2,660 |
2,567 |
$34K |
| 90834 |
Psychotherapy, 45 minutes with patient |
429 |
242 |
$32K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,351 |
1,323 |
$22K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,408 |
2,313 |
$22K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
203 |
173 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
147 |
144 |
$14K |
| 80053 |
Comprehensive metabolic panel |
1,437 |
1,417 |
$14K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,600 |
1,489 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
473 |
463 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,156 |
1,121 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
155 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
381 |
374 |
$11K |
| 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 |
453 |
442 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
904 |
887 |
$10K |
| 85027 |
|
1,659 |
1,590 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
248 |
243 |
$10K |
| 90686 |
|
727 |
718 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,208 |
1,170 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
68 |
$6K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
835 |
461 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$5K |
| 99215 |
Prolong outpt/office vis |
104 |
96 |
$5K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
131 |
115 |
$4K |
| 90694 |
|
128 |
121 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
44 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
210 |
193 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
304 |
287 |
$3K |
| 98940 |
|
484 |
297 |
$3K |
| 0064A |
|
104 |
101 |
$3K |
| 90653 |
|
68 |
62 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
64 |
64 |
$2K |
| 84460 |
|
356 |
326 |
$2K |
| 87081 |
|
417 |
405 |
$2K |
| 81001 |
|
574 |
553 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
119 |
114 |
$949.65 |
| 0012A |
|
32 |
32 |
$888.40 |
| 0011A |
|
37 |
37 |
$848.57 |
| 99402 |
|
15 |
15 |
$731.70 |
| 80050 |
General health panel |
12 |
12 |
$635.76 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
14 |
13 |
$603.99 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
26 |
26 |
$591.24 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
182 |
179 |
$530.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
38 |
$435.54 |
| 86803 |
|
30 |
30 |
$424.88 |
| 82607 |
|
27 |
26 |
$420.15 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$396.75 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$396.75 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
27 |
25 |
$374.81 |
| 92551 |
|
73 |
72 |
$352.00 |
| 84450 |
|
57 |
44 |
$267.84 |
| 81003 |
|
87 |
87 |
$221.37 |
| 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) |
15 |
12 |
$177.30 |
| 99188 |
|
16 |
16 |
$147.62 |
| 99173 |
|
71 |
71 |
$80.63 |
| 82565 |
|
12 |
12 |
$67.92 |
| 85018 |
|
28 |
25 |
$56.04 |
| 90647 |
|
15 |
15 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| X5622 |
|
18 |
16 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 90670 |
|
17 |
17 |
$0.00 |