| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
85 |
67 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
834 |
737 |
$4K |
| 80053 |
Comprehensive metabolic panel |
1,169 |
998 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
58 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
28 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
52 |
33 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
35 |
23 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,197 |
985 |
$1K |
| 87800 |
|
65 |
39 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
390 |
366 |
$564.28 |
| 80061 |
Lipid panel |
539 |
502 |
$495.53 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
26 |
$348.48 |
| 84439 |
|
288 |
264 |
$267.51 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
51 |
40 |
$258.63 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
84 |
76 |
$237.77 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
80 |
61 |
$214.62 |
| 88142 |
|
71 |
46 |
$127.14 |
| 84481 |
|
12 |
12 |
$64.02 |
| 85027 |
|
40 |
37 |
$47.47 |
| 36415 |
Collection of venous blood by venipuncture |
124 |
93 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$0.00 |