| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,169 |
1,768 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,070 |
917 |
$45K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
220 |
174 |
$27K |
| 74018 |
|
1,556 |
1,342 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
288 |
196 |
$21K |
| 99199 |
Unlisted special service, procedure or report |
3,616 |
3,594 |
$11K |
| 70360 |
|
456 |
408 |
$6K |
| 77072 |
|
510 |
452 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
288 |
252 |
$4K |
| 86780 |
|
175 |
158 |
$2K |
| 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 |
45 |
27 |
$2K |
| 99051 |
|
70 |
67 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
544 |
438 |
$1K |
| 99441 |
|
28 |
22 |
$793.24 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
29 |
27 |
$760.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
43 |
$575.20 |
| 86803 |
|
29 |
27 |
$448.23 |
| 86762 |
|
27 |
25 |
$435.10 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
16 |
13 |
$341.07 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
16 |
13 |
$341.07 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
43 |
38 |
$286.16 |
| 87340 |
|
29 |
27 |
$274.96 |
| 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) |
125 |
93 |
$248.75 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
13 |
$147.48 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$124.61 |
| 85027 |
|
14 |
14 |
$106.70 |
| 3074F |
|
63 |
59 |
$0.00 |
| 3044F |
|
15 |
12 |
$0.00 |
| 3078F |
|
70 |
62 |
$0.00 |