| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,347 |
4,843 |
$422K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,672 |
5,269 |
$310K |
| 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 |
371 |
364 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
566 |
558 |
$23K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,400 |
1,375 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
2,813 |
2,527 |
$10K |
| 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 |
352 |
345 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
339 |
330 |
$6K |
| 92551 |
|
488 |
482 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
96 |
93 |
$3K |
| 90686 |
|
559 |
548 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
18 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
222 |
197 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
144 |
136 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
12 |
$987.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
36 |
$637.51 |
| 0064A |
|
15 |
15 |
$628.60 |
| 99173 |
|
428 |
423 |
$537.19 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
26 |
$437.98 |
| 99188 |
|
38 |
38 |
$423.88 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$379.54 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
29 |
$290.64 |
| 80053 |
Comprehensive metabolic panel |
26 |
25 |
$260.13 |
| 90734 |
|
12 |
12 |
$144.06 |
| 96127 |
|
30 |
29 |
$115.09 |
| 90647 |
|
13 |
13 |
$0.00 |
| 87081 |
|
17 |
15 |
$0.00 |
| X5622 |
|
361 |
347 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |