| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,653 |
1,270 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,082 |
911 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,512 |
1,257 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
931 |
714 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
755 |
589 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
586 |
456 |
$32K |
| 92587 |
|
464 |
326 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,178 |
911 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,204 |
1,701 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
171 |
121 |
$9K |
| 99173 |
|
1,031 |
809 |
$7K |
| 99174 |
|
422 |
300 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
365 |
256 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
231 |
213 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
203 |
103 |
$3K |
| 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 |
31 |
30 |
$2K |
| 90474 |
|
157 |
119 |
$1K |
| 90670 |
|
452 |
343 |
$1K |
| 92551 |
|
163 |
142 |
$1K |
| 83655 |
|
67 |
50 |
$979.46 |
| 36416 |
|
358 |
244 |
$903.01 |
| 96127 |
|
227 |
164 |
$796.43 |
| 36415 |
Collection of venous blood by venipuncture |
222 |
185 |
$613.88 |
| 90698 |
|
450 |
342 |
$597.89 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
29 |
$428.19 |
| 90688 |
|
126 |
109 |
$250.20 |
| 90686 |
|
659 |
438 |
$197.03 |
| 90633 |
|
15 |
13 |
$74.14 |
| 81003 |
|
17 |
12 |
$37.38 |
| 90685 |
|
101 |
99 |
$0.00 |
| 90680 |
|
156 |
118 |
$0.00 |
| 3008F |
|
1,495 |
1,214 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| 90744 |
|
30 |
25 |
$0.00 |