| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
6,698 |
6,124 |
$887K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,815 |
5,165 |
$560K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
7,488 |
5,191 |
$450K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,838 |
8,044 |
$428K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,013 |
6,690 |
$359K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,896 |
1,123 |
$183K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,190 |
1,344 |
$158K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,489 |
1,191 |
$140K |
| 92587 |
|
2,569 |
1,861 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,302 |
1,001 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
990 |
957 |
$96K |
| 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 |
787 |
339 |
$77K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,398 |
682 |
$68K |
| 90461 |
|
1,815 |
1,319 |
$59K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,654 |
1,575 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,826 |
1,325 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,490 |
2,171 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
403 |
391 |
$43K |
| 97802 |
|
1,671 |
868 |
$31K |
| 99050 |
|
697 |
270 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,342 |
2,683 |
$30K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,233 |
647 |
$25K |
| 0012A |
|
611 |
428 |
$20K |
| 87428 |
|
298 |
264 |
$17K |
| 0011A |
|
620 |
404 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
956 |
895 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
607 |
351 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
34 |
$11K |
| 3725F |
|
597 |
221 |
$11K |
| 0003A |
|
268 |
267 |
$10K |
| 0013A |
|
254 |
250 |
$10K |
| 99177 |
|
1,765 |
1,731 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
24 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
356 |
319 |
$4K |
| 96127 |
|
1,030 |
921 |
$3K |
| 0002A |
|
115 |
114 |
$3K |
| 0001A |
|
78 |
77 |
$2K |
| 99383 |
|
19 |
12 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
123 |
37 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$650.00 |
| 0064A |
|
17 |
17 |
$641.61 |
| 90474 |
|
58 |
55 |
$546.93 |
| 0124A |
|
12 |
12 |
$512.16 |
| 0154A |
|
13 |
13 |
$426.80 |
| 99072 |
|
29 |
25 |
$172.50 |
| 96160 |
|
44 |
44 |
$167.70 |
| 94760 |
|
57 |
31 |
$134.78 |
| 96161 |
|
29 |
24 |
$116.41 |
| 90686 |
|
244 |
166 |
$98.25 |
| 99173 |
|
92 |
87 |
$85.96 |
| 90633 |
|
67 |
58 |
$11.00 |
| 90716 |
|
14 |
13 |
$1.00 |
| 91307 |
|
13 |
12 |
$0.00 |
| 91301 |
|
31 |
31 |
$0.00 |