| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,920 |
3,550 |
$280K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,956 |
2,684 |
$203K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,083 |
1,999 |
$166K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,660 |
6,546 |
$140K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,385 |
1,316 |
$118K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,914 |
1,810 |
$81K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,716 |
2,232 |
$62K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,250 |
3,795 |
$53K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,126 |
1,104 |
$32K |
| 87428 |
|
440 |
420 |
$24K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,704 |
6,393 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,630 |
2,071 |
$19K |
| 99381 |
|
249 |
228 |
$17K |
| 92551 |
|
1,673 |
1,592 |
$14K |
| 87430 |
|
809 |
766 |
$11K |
| 90461 |
|
1,671 |
1,256 |
$10K |
| 87807 |
|
1,035 |
936 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
739 |
680 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
90 |
88 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
187 |
165 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
520 |
506 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,803 |
2,605 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
323 |
296 |
$3K |
| 99174 |
|
814 |
785 |
$3K |
| 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 |
40 |
40 |
$2K |
| 87400 |
|
115 |
111 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
129 |
48 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
55 |
37 |
$963.44 |
| 99383 |
|
13 |
13 |
$839.82 |
| 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 |
40 |
40 |
$763.75 |
| 99307 |
|
379 |
295 |
$430.48 |
| 87420 |
|
33 |
30 |
$350.40 |
| 81003 |
|
133 |
128 |
$267.56 |
| 90686 |
|
2,306 |
2,122 |
$157.76 |
| 0002A |
|
18 |
18 |
$38.00 |
| 99173 |
|
846 |
817 |
$8.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,101 |
1,090 |
$7.25 |
| 90734 |
|
275 |
255 |
$0.91 |
| 90620 |
|
66 |
66 |
$0.47 |
| 90715 |
|
66 |
65 |
$0.29 |
| 90651 |
|
240 |
235 |
$0.25 |
| 90716 |
|
380 |
315 |
$0.02 |
| 90633 |
|
1,265 |
1,114 |
$0.02 |
| 90707 |
|
370 |
305 |
$0.02 |
| 90677 |
|
607 |
590 |
$0.00 |
| 90723 |
|
1,904 |
1,700 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
1,212 |
1,195 |
$0.00 |
| 90696 |
|
156 |
153 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
695 |
692 |
$0.00 |
| 90680 |
|
1,762 |
1,552 |
$0.00 |
| 1111F |
|
505 |
476 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
623 |
620 |
$0.00 |
| 90656 |
|
222 |
220 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
13 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
975 |
973 |
$0.00 |
| 90670 |
|
2,011 |
1,714 |
$0.00 |
| 90648 |
|
2,590 |
2,294 |
$0.00 |
| 90710 |
|
184 |
180 |
$0.00 |
| 90700 |
|
379 |
318 |
$0.00 |
| 3725F |
|
163 |
156 |
$0.00 |