| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,206 |
4,049 |
$226.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,861 |
3,355 |
$28.36 |
| 2028F |
|
72 |
72 |
$0.00 |
| 80061 |
Lipid panel |
5,031 |
4,995 |
$0.00 |
| 82540 |
|
1,486 |
1,474 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
615 |
610 |
$0.00 |
| 86703 |
|
892 |
888 |
$0.00 |
| 85610 |
|
798 |
679 |
$0.00 |
| 82274 |
|
988 |
985 |
$0.00 |
| 77062 |
|
135 |
135 |
$0.00 |
| 90653 |
|
172 |
172 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,354 |
2,762 |
$0.00 |
| 84439 |
|
91 |
91 |
$0.00 |
| 99442 |
|
2,519 |
2,441 |
$0.00 |
| 80074 |
|
104 |
104 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
508 |
307 |
$0.00 |
| 86480 |
|
83 |
83 |
$0.00 |
| 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 |
53 |
51 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
203 |
203 |
$0.00 |
| 98966 |
|
103 |
93 |
$0.00 |
| 3046F |
|
59 |
57 |
$0.00 |
| 3077F |
|
394 |
359 |
$0.00 |
| 90750 |
|
43 |
43 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
14 |
$0.00 |
| 3051F |
|
56 |
55 |
$0.00 |
| 3078F |
|
1,325 |
1,187 |
$0.00 |
| 91300 |
|
104 |
103 |
$0.00 |
| 83540 |
|
12 |
12 |
$0.00 |
| 86708 |
|
39 |
39 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
24 |
24 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| 81001 |
|
100 |
96 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
5,419 |
5,194 |
$0.00 |
| 1220F |
|
497 |
495 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,767 |
5,714 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
533 |
528 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
953 |
853 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
9,322 |
8,487 |
$0.00 |
| 82043 |
|
1,474 |
1,462 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
615 |
610 |
$0.00 |
| 99441 |
|
951 |
920 |
$0.00 |
| 85652 |
|
12 |
12 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
591 |
585 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,484 |
2,253 |
$0.00 |
| 85027 |
|
1,039 |
1,022 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
928 |
925 |
$0.00 |
| 3080F |
|
88 |
86 |
$0.00 |
| 86780 |
|
434 |
432 |
$0.00 |
| 86706 |
|
52 |
51 |
$0.00 |
| 3044F |
|
579 |
570 |
$0.00 |
| 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 |
39 |
38 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
215 |
214 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,523 |
1,488 |
$0.00 |
| 83550 |
|
12 |
12 |
$0.00 |
| 86592 |
|
26 |
26 |
$0.00 |
| 3079F |
|
321 |
303 |
$0.00 |
| 92227 |
|
12 |
12 |
$0.00 |
| 4450F |
|
231 |
230 |
$0.00 |
| 1111F |
|
379 |
343 |
$0.00 |
| 99443 |
|
108 |
107 |
$0.00 |
| 3075F |
|
390 |
368 |
$0.00 |
| 99243 |
|
70 |
70 |
$0.00 |
| 92250 |
|
67 |
66 |
$0.00 |
| 3074F |
|
1,013 |
935 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
99 |
94 |
$0.00 |
| 90656 |
|
88 |
88 |
$0.00 |
| 90686 |
|
97 |
97 |
$0.00 |
| 20610 |
|
26 |
24 |
$0.00 |
| 90674 |
|
51 |
51 |
$0.00 |
| 87340 |
|
73 |
71 |
$0.00 |
| 82985 |
|
12 |
12 |
$0.00 |
| 87088 |
|
14 |
13 |
$0.00 |