| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114,453 |
98,295 |
$12.19M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22,501 |
22,284 |
$3.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,515 |
25,696 |
$3.14M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19,809 |
19,500 |
$2.34M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15,110 |
14,987 |
$1.81M |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
45,210 |
41,217 |
$1.66M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,404 |
10,186 |
$1.21M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
8,437 |
8,330 |
$1.03M |
| 99173 |
|
11,805 |
11,770 |
$804K |
| 99381 |
|
3,943 |
3,893 |
$464K |
| 36416 |
|
10,770 |
10,423 |
$399K |
| 99051 |
|
28,357 |
27,171 |
$359K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,407 |
2,333 |
$267K |
| 69210 |
|
2,235 |
2,178 |
$220K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25,626 |
24,217 |
$203K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,491 |
9,123 |
$198K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,538 |
1,517 |
$187K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
909 |
871 |
$104K |
| 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 |
1,391 |
1,275 |
$98K |
| 87081 |
|
27,458 |
25,535 |
$94K |
| 99441 |
|
750 |
741 |
$89K |
| 90633 |
|
5,130 |
5,127 |
$83K |
| 90670 |
|
6,549 |
6,544 |
$78K |
| 90723 |
|
5,360 |
5,355 |
$72K |
| 90710 |
|
4,259 |
4,259 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,267 |
5,238 |
$65K |
| 90697 |
|
2,641 |
2,640 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,455 |
3,449 |
$49K |
| 99442 |
|
378 |
374 |
$44K |
| 90734 |
|
2,587 |
2,586 |
$43K |
| 90696 |
|
2,494 |
2,494 |
$43K |
| 99000 |
|
1,206 |
1,160 |
$41K |
| 90700 |
|
2,045 |
2,044 |
$36K |
| 90715 |
|
2,002 |
2,002 |
$36K |
| 90648 |
|
3,574 |
3,569 |
$31K |
| 90677 |
|
1,200 |
1,200 |
$30K |
| 90686 |
|
2,416 |
2,410 |
$29K |
| 90671 |
|
887 |
886 |
$19K |
| 90744 |
|
990 |
990 |
$17K |
| 85018 |
|
11,589 |
11,557 |
$16K |
| 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 |
719 |
693 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,073 |
2,894 |
$15K |
| 90698 |
|
803 |
803 |
$13K |
| 90716 |
|
741 |
740 |
$11K |
| 90733 |
|
389 |
389 |
$10K |
| 36410 |
|
318 |
312 |
$10K |
| 90707 |
|
1,359 |
1,357 |
$9K |
| 81003 |
|
4,750 |
4,693 |
$9K |
| 90685 |
|
540 |
536 |
$5K |
| 17110 |
|
21 |
17 |
$5K |
| 90661 |
|
168 |
168 |
$4K |
| 81000 |
|
1,641 |
1,627 |
$4K |
| 90681 |
|
304 |
304 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
695 |
665 |
$4K |
| 90688 |
|
197 |
197 |
$4K |
| 90658 |
|
95 |
94 |
$2K |
| 86580 |
|
219 |
218 |
$2K |
| 90657 |
|
15 |
15 |
$357.14 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$343.98 |
| 90461 |
|
999 |
996 |
$30.00 |
| 87631 |
|
664 |
641 |
$0.00 |