| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,596 |
4,247 |
$288K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,907 |
4,576 |
$215K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
840 |
805 |
$12K |
| 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 |
132 |
128 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,312 |
2,918 |
$10K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
276 |
268 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 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 |
84 |
81 |
$2K |
| 90686 |
|
367 |
357 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
190 |
184 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
45 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
59 |
57 |
$949.96 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
16 |
12 |
$749.90 |
| 96127 |
|
181 |
154 |
$699.40 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$533.86 |
| 92551 |
|
94 |
92 |
$518.43 |
| 80061 |
Lipid panel |
13 |
13 |
$146.29 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
13 |
$138.15 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$110.35 |
| 99173 |
|
79 |
78 |
$94.76 |
| G0008 |
Administration of influenza virus vaccine |
47 |
47 |
$46.82 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$31.98 |
| 90651 |
|
13 |
12 |
$0.00 |
| X5622 |
|
109 |
105 |
$0.00 |