| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,449 |
15,434 |
$1.46M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,604 |
10,727 |
$1.14M |
| 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 |
14,306 |
13,229 |
$928K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,152 |
5,144 |
$710K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20,867 |
18,100 |
$701K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,565 |
6,541 |
$577K |
| 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 |
14,243 |
13,179 |
$308K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
287 |
286 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
695 |
659 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,432 |
1,329 |
$27K |
| 99401 |
|
1,523 |
1,397 |
$24K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
816 |
787 |
$24K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
581 |
567 |
$20K |
| 99215 |
Prolong outpt/office vis |
114 |
100 |
$15K |
| 99490 |
Ccm add 20min |
465 |
463 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
241 |
205 |
$13K |
| 87522 |
Neg quan hep c or qual rna |
365 |
363 |
$12K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
807 |
805 |
$11K |
| 99497 |
|
104 |
103 |
$8K |
| 80050 |
General health panel |
352 |
350 |
$8K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
210 |
151 |
$8K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,159 |
2,101 |
$7K |
| 0001A |
|
195 |
194 |
$7K |
| 82607 |
|
829 |
825 |
$6K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
777 |
727 |
$5K |
| 0002A |
|
164 |
164 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
943 |
935 |
$5K |
| 96138 |
|
660 |
528 |
$5K |
| 83970 |
|
290 |
288 |
$5K |
| 86703 |
|
406 |
405 |
$5K |
| 0003A |
|
146 |
146 |
$5K |
| 82746 |
|
664 |
662 |
$5K |
| 80053 |
Comprehensive metabolic panel |
1,160 |
1,151 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,391 |
1,375 |
$4K |
| 0012A |
|
121 |
121 |
$4K |
| 97803 |
|
193 |
177 |
$4K |
| 0011A |
|
120 |
120 |
$4K |
| 80061 |
Lipid panel |
870 |
865 |
$3K |
| 87340 |
|
356 |
355 |
$3K |
| 97802 |
|
580 |
565 |
$3K |
| 84439 |
|
619 |
615 |
$3K |
| 0013A |
|
78 |
78 |
$3K |
| 86480 |
|
47 |
47 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
100 |
78 |
$2K |
| 82627 |
|
241 |
239 |
$2K |
| 82728 |
|
345 |
343 |
$2K |
| 81002 |
|
1,177 |
1,143 |
$2K |
| 99441 |
|
32 |
29 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
699 |
693 |
$2K |
| 84480 |
|
528 |
524 |
$2K |
| 96127 |
|
2,015 |
1,861 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,194 |
1,183 |
$1K |
| S9470 |
Nutritional counseling, dietitian visit |
676 |
651 |
$1K |
| 81025 |
|
710 |
695 |
$1K |
| 99406 |
|
85 |
74 |
$1K |
| 82670 |
|
306 |
305 |
$1K |
| 85540 |
|
305 |
304 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
172 |
172 |
$888.50 |
| 86780 |
|
62 |
62 |
$752.84 |
| 86592 |
|
272 |
272 |
$735.11 |
| 90688 |
|
34 |
34 |
$731.82 |
| 83540 |
|
352 |
351 |
$711.31 |
| 0071A |
|
21 |
21 |
$700.35 |
| 93000 |
|
47 |
45 |
$646.65 |
| 90834 |
Psychotherapy, 45 minutes with patient |
30 |
26 |
$643.22 |
| 83735 |
|
301 |
300 |
$601.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
73 |
70 |
$595.53 |
| 84100 |
|
305 |
304 |
$573.97 |
| 86704 |
|
76 |
75 |
$529.85 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
201 |
197 |
$509.58 |
| 0072A |
|
15 |
15 |
$496.20 |
| 90674 |
|
17 |
17 |
$490.00 |
| 83550 |
|
232 |
231 |
$464.59 |
| 36415 |
Collection of venous blood by venipuncture |
3,086 |
2,976 |
$344.98 |
| 90686 |
|
15 |
15 |
$324.15 |
| 99402 |
|
159 |
159 |
$314.69 |
| 99050 |
|
56 |
55 |
$283.50 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
151 |
141 |
$254.24 |
| 99408 |
|
733 |
667 |
$216.72 |
| 99051 |
|
66 |
60 |
$197.27 |
| 96160 |
|
76 |
68 |
$112.70 |
| 81001 |
|
28 |
28 |
$51.32 |
| 99000 |
|
3,301 |
2,914 |
$0.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
365 |
355 |
$0.17 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,066 |
949 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
14 |
14 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,898 |
1,565 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
43 |
40 |
$0.00 |
| 1126F |
|
137 |
119 |
$0.00 |
| 1111F |
|
66 |
63 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
174 |
153 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
32 |
32 |
$0.00 |
| 1036F |
|
44 |
41 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
14 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
643 |
572 |
$0.00 |
| 1159F |
|
166 |
142 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
1,541 |
1,388 |
$0.00 |
| 99072 |
|
10,472 |
9,214 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
31 |
26 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
64 |
60 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
70 |
67 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
27 |
24 |
$0.00 |
| 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) |
58 |
53 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
14 |
14 |
$0.00 |
| 87530 |
|
60 |
60 |
$0.00 |
| 1160F |
|
19 |
18 |
$0.00 |