| 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 |
147 |
105 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,031 |
14,580 |
$11K |
| 80061 |
Lipid panel |
5,291 |
5,282 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,231 |
2,230 |
$5K |
| 83721 |
|
5,170 |
5,161 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,754 |
3,740 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,790 |
6,489 |
$3K |
| 80053 |
Comprehensive metabolic panel |
4,703 |
4,472 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
647 |
645 |
$2K |
| 85049 |
|
5,945 |
5,883 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,315 |
2,312 |
$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 |
80 |
59 |
$1K |
| 84439 |
|
1,529 |
1,526 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,637 |
1,604 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
486 |
485 |
$979.56 |
| 90674 |
|
27 |
27 |
$871.29 |
| 80076 |
|
1,648 |
1,648 |
$865.84 |
| 81001 |
|
5,037 |
4,928 |
$857.12 |
| 82977 |
|
1,647 |
1,647 |
$849.76 |
| 90658 |
|
203 |
203 |
$719.36 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
57 |
57 |
$593.04 |
| 84550 |
|
1,459 |
1,457 |
$484.68 |
| 90686 |
|
120 |
120 |
$477.94 |
| 96127 |
|
84 |
84 |
$395.08 |
| 84153 |
|
605 |
604 |
$299.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,865 |
2,734 |
$239.92 |
| 88142 |
|
929 |
927 |
$224.56 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
737 |
728 |
$166.74 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
711 |
702 |
$166.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
984 |
977 |
$130.42 |
| 82570 |
|
803 |
800 |
$117.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
420 |
405 |
$105.51 |
| 82043 |
|
785 |
783 |
$97.84 |
| 83550 |
|
112 |
111 |
$21.30 |
| 82728 |
|
213 |
210 |
$18.15 |
| 85008 |
|
626 |
625 |
$10.20 |
| 80299 |
|
14 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
476 |
474 |
$0.00 |
| 99173 |
|
301 |
300 |
$0.00 |
| 81025 |
|
243 |
235 |
$0.00 |
| 92134 |
|
26 |
26 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
164 |
164 |
$0.00 |
| 86708 |
|
157 |
157 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
70 |
70 |
$0.00 |
| 99401 |
|
42 |
42 |
$0.00 |
| 92552 |
|
398 |
395 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
125 |
125 |
$0.00 |
| 84146 |
|
52 |
51 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
112 |
110 |
$0.00 |
| 86703 |
|
160 |
160 |
$0.00 |
| 90621 |
|
148 |
148 |
$0.00 |
| 85610 |
|
389 |
328 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
94 |
92 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
191 |
188 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
249 |
248 |
$0.00 |
| 87186 |
|
53 |
52 |
$0.00 |
| 84702 |
|
111 |
91 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 86900 |
|
91 |
80 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
211 |
210 |
$0.00 |
| 96160 |
|
75 |
75 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
43 |
43 |
$0.00 |
| 83540 |
|
114 |
113 |
$0.00 |
| 92081 |
|
88 |
88 |
$0.00 |
| 83655 |
|
203 |
203 |
$0.00 |
| 90685 |
|
36 |
36 |
$0.00 |
| 82947 |
|
45 |
45 |
$0.00 |
| 92504 |
|
60 |
60 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
31 |
26 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
71 |
69 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
34 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
61 |
59 |
$0.00 |
| 93224 |
|
44 |
44 |
$0.00 |
| 84460 |
|
30 |
30 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
24 |
12 |
$0.00 |
| 99408 |
|
51 |
50 |
$0.00 |
| 86480 |
|
12 |
12 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
34 |
30 |
$0.00 |
| 93015 |
|
72 |
66 |
$0.00 |
| 86038 |
|
48 |
48 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$0.00 |
| 90756 |
|
15 |
15 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$0.00 |
| 84450 |
|
16 |
16 |
$0.00 |
| 86592 |
|
212 |
211 |
$0.00 |
| 87350 |
|
76 |
76 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
565 |
553 |
$0.00 |
| 84436 |
|
110 |
110 |
$0.00 |
| 87040 |
|
30 |
25 |
$0.00 |
| 86704 |
|
161 |
161 |
$0.00 |
| 86706 |
|
614 |
614 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
320 |
320 |
$0.00 |
| 92551 |
|
262 |
261 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
125 |
124 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 83690 |
|
121 |
97 |
$0.00 |
| 93000 |
|
83 |
82 |
$0.00 |
| 3008F |
|
312 |
304 |
$0.00 |
| 36410 |
|
24 |
24 |
$0.00 |
| 85730 |
|
341 |
294 |
$0.00 |
| 96151 |
|
219 |
218 |
$0.00 |
| 86803 |
|
505 |
505 |
$0.00 |
| 82378 |
|
162 |
154 |
$0.00 |
| 90688 |
|
303 |
303 |
$0.00 |
| 80069 |
|
132 |
132 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
291 |
287 |
$0.00 |
| 84484 |
|
92 |
77 |
$0.00 |
| 86580 |
|
117 |
117 |
$0.00 |
| 88150 |
|
239 |
239 |
$0.00 |
| 87340 |
|
644 |
644 |
$0.00 |
| 84154 |
|
103 |
103 |
$0.00 |
| 99050 |
|
57 |
56 |
$0.00 |
| 83001 |
|
86 |
85 |
$0.00 |
| 85651 |
|
133 |
132 |
$0.00 |
| 87517 |
|
231 |
227 |
$0.00 |
| 86430 |
|
25 |
25 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
212 |
212 |
$0.00 |
| 86762 |
|
16 |
16 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
49 |
47 |
$0.00 |
| 86901 |
|
89 |
80 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
62 |
60 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
77 |
77 |
$0.00 |
| 82607 |
|
183 |
182 |
$0.00 |
| 86707 |
|
71 |
71 |
$0.00 |
| 76641 |
|
214 |
124 |
$0.00 |
| 76536 |
|
31 |
31 |
$0.00 |
| 82746 |
|
117 |
116 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$0.00 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
45 |
45 |
$0.00 |
| 82105 |
|
286 |
286 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
229 |
228 |
$0.00 |
| 87081 |
|
27 |
24 |
$0.00 |
| 83002 |
|
29 |
28 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
41 |
41 |
$0.00 |
| 99243 |
|
27 |
27 |
$0.00 |
| 97802 |
|
39 |
39 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
65 |
65 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
14 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
90 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |
| 81000 |
|
15 |
15 |
$0.00 |