| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,570 |
3,527 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,819 |
1,804 |
$33K |
| 99172 |
|
1,725 |
1,713 |
$16K |
| V5008 |
Hearing screening |
1,689 |
1,677 |
$16K |
| 36416 |
|
1,038 |
1,035 |
$7K |
| 90686 |
|
1,141 |
1,139 |
$6K |
| 99188 |
|
741 |
741 |
$5K |
| 85018 |
|
1,943 |
1,940 |
$4K |
| 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 |
54 |
50 |
$3K |
| 90651 |
|
69 |
69 |
$2K |
| 90632 |
|
36 |
36 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
54 |
54 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
54 |
54 |
$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 |
54 |
50 |
$1K |
| 86580 |
|
211 |
177 |
$1K |
| 90715 |
|
135 |
135 |
$749.48 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
15 |
$722.16 |
| 90716 |
|
27 |
27 |
$316.20 |
| 90656 |
|
14 |
14 |
$312.90 |
| 90734 |
|
83 |
83 |
$251.35 |
| D1206 |
Topical application of fluoride varnish |
30 |
23 |
$72.00 |
| 90633 |
|
216 |
216 |
$0.00 |
| 90710 |
|
76 |
76 |
$0.00 |
| 90655 |
|
48 |
48 |
$0.00 |
| 90671 |
|
44 |
44 |
$0.00 |
| 90670 |
|
34 |
34 |
$0.00 |
| 90647 |
|
28 |
28 |
$0.00 |
| 90619 |
|
67 |
67 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90696 |
|
34 |
34 |
$0.00 |