| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32,686 |
17,988 |
$1.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,223 |
23,392 |
$1.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,065 |
10,916 |
$728K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,990 |
9,259 |
$523K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,173 |
6,178 |
$501K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,254 |
5,289 |
$373K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,166 |
3,753 |
$285K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
4,730 |
4,365 |
$233K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24,752 |
21,192 |
$222K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,237 |
4,827 |
$167K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,473 |
1,185 |
$157K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,640 |
5,787 |
$156K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,717 |
8,750 |
$116K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,011 |
3,620 |
$104K |
| 99173 |
|
8,940 |
7,739 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
853 |
778 |
$64K |
| 36416 |
|
25,316 |
21,475 |
$58K |
| 92558 |
|
6,694 |
5,539 |
$42K |
| 96127 |
|
5,932 |
3,324 |
$27K |
| 83655 |
|
1,792 |
1,466 |
$25K |
| 80061 |
Lipid panel |
1,609 |
1,327 |
$23K |
| 81002 |
|
7,313 |
6,594 |
$21K |
| 87807 |
|
1,578 |
1,446 |
$18K |
| 87631 |
|
119 |
106 |
$17K |
| 96161 |
|
1,112 |
938 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
112 |
106 |
$11K |
| 81003 |
|
3,781 |
2,989 |
$8K |
| 96160 |
|
299 |
192 |
$6K |
| 99381 |
|
89 |
82 |
$6K |
| 92551 |
|
805 |
664 |
$5K |
| 90670 |
|
2,608 |
1,976 |
$4K |
| 86308 |
|
901 |
823 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
90 |
87 |
$4K |
| 90461 |
|
4,481 |
3,931 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
710 |
615 |
$2K |
| 92587 |
|
37 |
32 |
$1K |
| 99401 |
|
52 |
40 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 90716 |
|
507 |
402 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
29 |
28 |
$876.07 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
24 |
$806.44 |
| 90633 |
|
926 |
745 |
$608.30 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$601.15 |
| 90707 |
|
583 |
458 |
$583.41 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
67 |
49 |
$527.39 |
| 99442 |
|
12 |
12 |
$443.75 |
| 90648 |
|
2,128 |
1,556 |
$359.24 |
| 90734 |
|
54 |
48 |
$331.22 |
| 94760 |
|
56 |
46 |
$326.27 |
| 90677 |
|
307 |
304 |
$321.61 |
| 90686 |
|
213 |
184 |
$318.19 |
| 90651 |
|
84 |
77 |
$294.18 |
| 90696 |
|
80 |
68 |
$135.64 |
| 90715 |
|
43 |
37 |
$118.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
59 |
24 |
$66.58 |
| 82270 |
|
19 |
16 |
$46.67 |
| 90700 |
|
25 |
24 |
$31.90 |
| 90688 |
|
133 |
130 |
$21.47 |
| 90681 |
|
152 |
144 |
$0.00 |
| 90671 |
|
22 |
21 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |
| 90723 |
|
1,186 |
886 |
$0.00 |
| 90680 |
|
249 |
176 |
$0.00 |
| 90697 |
|
465 |
428 |
$0.00 |
| 99000 |
|
192 |
156 |
$0.00 |