| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,724 |
2,575 |
$236K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
856 |
818 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
414 |
397 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
276 |
260 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
288 |
263 |
$30K |
| 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 |
175 |
172 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
109 |
101 |
$14K |
| 90461 |
|
230 |
223 |
$13K |
| 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 |
143 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
38 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
109 |
$3K |
| 90686 |
|
379 |
328 |
$3K |
| 90670 |
|
138 |
135 |
$2K |
| 90723 |
|
118 |
115 |
$1K |
| 90647 |
|
90 |
87 |
$987.48 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
26 |
26 |
$852.86 |
| 90680 |
|
77 |
72 |
$768.52 |
| 83655 |
|
13 |
13 |
$212.93 |
| 85027 |
|
12 |
12 |
$173.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
12 |
$163.78 |
| 90651 |
|
16 |
16 |
$154.96 |
| 90633 |
|
15 |
15 |
$138.38 |
| 90734 |
|
12 |
12 |
$114.60 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
26 |
$0.00 |