| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,899 |
4,335 |
$238K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
124 |
123 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,073 |
1,017 |
$65K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,259 |
2,188 |
$64K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
952 |
926 |
$63K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,199 |
2,129 |
$62K |
| 36415 |
Collection of venous blood by venipuncture |
12,155 |
10,650 |
$40K |
| 86780 |
|
2,855 |
2,802 |
$35K |
| 81514 |
|
119 |
118 |
$31K |
| 87481 |
|
910 |
884 |
$29K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
944 |
904 |
$27K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
832 |
809 |
$26K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
1,094 |
1,050 |
$24K |
| 59025 |
Fetal non-stress test |
1,387 |
982 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
316 |
296 |
$22K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
861 |
836 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,515 |
1,480 |
$16K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,263 |
1,210 |
$16K |
| 87150 |
|
403 |
400 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
172 |
171 |
$14K |
| 86803 |
|
1,008 |
979 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
204 |
199 |
$11K |
| 90715 |
|
399 |
396 |
$10K |
| 90686 |
|
545 |
541 |
$8K |
| 81025 |
|
1,012 |
986 |
$7K |
| 87340 |
|
832 |
811 |
$6K |
| 76830 |
Ultrasound, transvaginal |
66 |
65 |
$5K |
| 99215 |
Prolong outpt/office vis |
51 |
50 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
829 |
803 |
$5K |
| 85018 |
|
2,015 |
1,920 |
$4K |
| 87210 |
|
1,034 |
1,001 |
$4K |
| 82950 |
|
945 |
936 |
$4K |
| 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 |
48 |
43 |
$4K |
| 86850 |
|
572 |
555 |
$4K |
| 85027 |
|
584 |
567 |
$3K |
| 76801 |
|
39 |
36 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
211 |
206 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
43 |
36 |
$2K |
| 86787 |
|
267 |
254 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
45 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
20 |
16 |
$1K |
| 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 |
48 |
43 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$968.90 |
| 87081 |
|
197 |
194 |
$892.12 |
| 58300 |
|
14 |
14 |
$853.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
80 |
77 |
$769.84 |
| 84702 |
|
69 |
55 |
$735.14 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
12 |
$718.34 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
23 |
15 |
$601.42 |
| 82728 |
|
27 |
27 |
$219.66 |
| 99000 |
|
147 |
140 |
$186.69 |
| 80061 |
Lipid panel |
29 |
26 |
$159.86 |
| 81001 |
|
32 |
31 |
$103.91 |
| 82947 |
|
24 |
24 |
$52.18 |
| 86901 |
|
28 |
27 |
$47.40 |
| 86900 |
|
28 |
27 |
$47.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
29 |
$9.96 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$0.00 |
| 86762 |
|
12 |
12 |
$0.00 |