| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,850 |
8,116 |
$605K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,103 |
4,796 |
$259K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,368 |
1,338 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,023 |
2,928 |
$37K |
| 36415 |
Collection of venous blood by venipuncture |
8,488 |
7,822 |
$31K |
| 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 |
349 |
339 |
$27K |
| 80061 |
Lipid panel |
1,106 |
1,085 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,361 |
1,332 |
$11K |
| 80053 |
Comprehensive metabolic panel |
870 |
844 |
$9K |
| 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 |
336 |
326 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
505 |
496 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
240 |
237 |
$7K |
| 90686 |
|
1,009 |
991 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
458 |
442 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
68 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
861 |
827 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
85 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
69 |
$4K |
| 96127 |
|
935 |
816 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
554 |
516 |
$3K |
| 92551 |
|
539 |
532 |
$3K |
| 91320 |
|
34 |
32 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$2K |
| 86803 |
|
165 |
164 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
109 |
108 |
$2K |
| 99442 |
|
70 |
42 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
42 |
40 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
42 |
40 |
$1K |
| 99188 |
|
221 |
217 |
$1K |
| 90480 |
|
29 |
29 |
$915.09 |
| 99441 |
|
76 |
47 |
$862.81 |
| 99173 |
|
600 |
593 |
$649.43 |
| 90682 |
|
14 |
13 |
$533.75 |
| 0054A |
|
12 |
12 |
$512.06 |
| 0071A |
|
15 |
12 |
$511.56 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
13 |
13 |
$474.62 |
| 85027 |
|
111 |
103 |
$466.37 |
| 82728 |
|
28 |
27 |
$379.64 |
| 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 |
12 |
12 |
$330.40 |
| 0124A |
|
14 |
13 |
$323.01 |
| 81001 |
|
105 |
101 |
$322.73 |
| 90715 |
|
13 |
13 |
$282.49 |
| 87210 |
|
37 |
37 |
$213.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$197.60 |
| 99000 |
|
15 |
14 |
$183.30 |
| 90662 |
|
29 |
26 |
$141.12 |
| G0008 |
Administration of influenza virus vaccine |
40 |
33 |
$56.69 |
| 85018 |
|
12 |
12 |
$0.00 |
| X5622 |
|
617 |
608 |
$0.00 |