| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,663 |
8,205 |
$438K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,900 |
4,568 |
$346K |
| 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 |
937 |
919 |
$71K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
918 |
900 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
344 |
340 |
$27K |
| 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 |
864 |
848 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
3,565 |
3,353 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
481 |
466 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
630 |
618 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
696 |
663 |
$7K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
78 |
78 |
$5K |
| 80061 |
Lipid panel |
173 |
171 |
$2K |
| 80053 |
Comprehensive metabolic panel |
213 |
207 |
$2K |
| 85027 |
|
221 |
215 |
$1K |
| 99421 |
|
151 |
147 |
$1K |
| 87081 |
|
321 |
302 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
75 |
73 |
$1K |
| 90686 |
|
178 |
172 |
$959.89 |
| 84443 |
Thyroid stimulating hormone (TSH) |
52 |
52 |
$800.18 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$584.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
65 |
62 |
$556.24 |
| 92551 |
|
51 |
51 |
$390.86 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
38 |
$289.47 |
| 81001 |
|
92 |
88 |
$276.57 |
| 96127 |
|
57 |
57 |
$240.57 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$104.06 |
| 99173 |
|
50 |
50 |
$76.72 |
| 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) |
13 |
13 |
$2.71 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$0.00 |