| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,464 |
3,231 |
$258K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,392 |
3,129 |
$155K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
764 |
752 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,426 |
1,376 |
$17K |
| 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 |
161 |
146 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
2,952 |
2,767 |
$11K |
| 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 |
146 |
131 |
$4K |
| 90686 |
|
628 |
613 |
$2K |
| 96127 |
|
485 |
457 |
$2K |
| 80061 |
Lipid panel |
115 |
113 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
110 |
105 |
$1K |
| 92551 |
|
206 |
199 |
$1K |
| 80053 |
Comprehensive metabolic panel |
109 |
104 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
55 |
55 |
$527.78 |
| 99188 |
|
66 |
65 |
$485.15 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
27 |
$452.50 |
| 99173 |
|
214 |
209 |
$255.27 |
| 85027 |
|
31 |
30 |
$189.33 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
14 |
$121.59 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
14 |
$72.99 |
| 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) |
15 |
12 |
$13.96 |
| X5622 |
|
225 |
223 |
$0.00 |
| 99421 |
|
14 |
13 |
$0.00 |