| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
443 |
93 |
$28K |
| 99215 |
Prolong outpt/office vis |
161 |
149 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,678 |
2,484 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
164 |
162 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
218 |
218 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
156 |
48 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
136 |
$7K |
| V2020 |
Frames, purchases |
334 |
334 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
75 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
293 |
293 |
$6K |
| 95144 |
|
294 |
130 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
633 |
624 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
637 |
628 |
$3K |
| 97803 |
|
44 |
34 |
$3K |
| 92015 |
Determination of refractive state |
355 |
355 |
$3K |
| 99221 |
|
49 |
45 |
$2K |
| 93000 |
|
62 |
62 |
$2K |
| 10040 |
|
28 |
28 |
$1K |
| 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 |
129 |
101 |
$1K |
| 93325 |
|
13 |
13 |
$1K |
| 93320 |
|
13 |
13 |
$1K |
| 95115 |
|
117 |
52 |
$608.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,071 |
2,019 |
$243.05 |
| 80053 |
Comprehensive metabolic panel |
2,212 |
2,167 |
$212.79 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
201 |
201 |
$199.03 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,335 |
1,331 |
$162.02 |
| 80061 |
Lipid panel |
2,455 |
2,445 |
$143.54 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,884 |
1,871 |
$140.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,156 |
2,147 |
$123.68 |
| 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 |
21 |
20 |
$100.00 |
| 85027 |
|
659 |
641 |
$75.74 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
547 |
519 |
$34.72 |
| 82728 |
|
306 |
305 |
$33.53 |
| 87186 |
|
40 |
40 |
$25.26 |
| 87088 |
|
395 |
379 |
$24.03 |
| 82607 |
|
59 |
59 |
$23.88 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
20 |
20 |
$23.23 |
| 86592 |
|
420 |
417 |
$18.98 |
| 81001 |
|
1,043 |
1,004 |
$15.98 |
| 83540 |
|
393 |
391 |
$15.90 |
| 83550 |
|
206 |
204 |
$13.64 |
| 82746 |
|
24 |
24 |
$11.64 |
| 84550 |
|
57 |
54 |
$9.04 |
| 85007 |
|
202 |
200 |
$6.65 |
| 84436 |
|
126 |
125 |
$5.44 |
| 84460 |
|
363 |
362 |
$4.53 |
| 84450 |
|
355 |
354 |
$4.37 |
| 82570 |
|
403 |
399 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,334 |
9,363 |
$0.00 |
| 86038 |
|
12 |
12 |
$0.00 |
| 82274 |
|
162 |
162 |
$0.00 |
| 1159F |
|
676 |
589 |
$0.00 |
| 92552 |
|
1,391 |
1,387 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
163 |
163 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
282 |
282 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
237 |
236 |
$0.00 |
| 99173 |
|
711 |
710 |
$0.00 |
| 83655 |
|
228 |
228 |
$0.00 |
| 84439 |
|
198 |
196 |
$0.00 |
| 92081 |
|
489 |
489 |
$0.00 |
| 3015F |
|
268 |
241 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 99001 |
|
41 |
41 |
$0.00 |
| 81025 |
|
115 |
114 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
64 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
24 |
$0.00 |
| 87338 |
|
24 |
24 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 90685 |
|
48 |
48 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |
| 85610 |
|
30 |
28 |
$0.00 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
12 |
$0.00 |
| 94760 |
|
755 |
725 |
$0.00 |
| 85018 |
|
1,354 |
1,354 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,877 |
1,804 |
$0.00 |
| 3008F |
|
295 |
294 |
$0.00 |
| 3351F |
|
815 |
709 |
$0.00 |
| 81000 |
|
1,277 |
1,227 |
$0.00 |
| 82043 |
|
366 |
366 |
$0.00 |
| 85652 |
|
80 |
80 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
17 |
14 |
$0.00 |
| 2010F |
|
156 |
142 |
$0.00 |
| 90686 |
|
681 |
681 |
$0.00 |
| 84479 |
|
87 |
87 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
29 |
13 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
301 |
300 |
$0.00 |
| 1126F |
|
632 |
551 |
$0.00 |
| 84153 |
|
26 |
26 |
$0.00 |
| 86803 |
|
44 |
44 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
77 |
77 |
$0.00 |
| 85730 |
|
14 |
14 |
$0.00 |
| 87077 |
|
43 |
43 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
120 |
120 |
$0.00 |
| 82950 |
|
14 |
14 |
$0.00 |
| 86140 |
|
12 |
12 |
$0.00 |
| 0012A |
|
14 |
14 |
$0.00 |