| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,432 |
3,090 |
$172K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
213 |
205 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,219 |
1,008 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
296 |
252 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
264 |
236 |
$20K |
| 90686 |
|
759 |
699 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
396 |
321 |
$7K |
| 36416 |
|
1,233 |
985 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
52 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
52 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
318 |
301 |
$4K |
| 90651 |
|
57 |
54 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
88 |
86 |
$4K |
| 96127 |
|
228 |
185 |
$3K |
| 85018 |
|
1,304 |
992 |
$3K |
| 81002 |
|
1,118 |
922 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
142 |
54 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
33 |
25 |
$2K |
| 80061 |
Lipid panel |
294 |
226 |
$2K |
| 90661 |
|
121 |
119 |
$2K |
| 90734 |
|
55 |
44 |
$2K |
| 90620 |
|
46 |
44 |
$2K |
| 99051 |
|
384 |
221 |
$1K |
| 86580 |
|
254 |
216 |
$1K |
| 83655 |
|
83 |
69 |
$960.66 |
| 90619 |
|
48 |
46 |
$802.08 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
54 |
54 |
$788.40 |
| 0071A |
|
17 |
17 |
$716.38 |
| 99406 |
|
84 |
79 |
$603.96 |
| 90660 |
|
28 |
28 |
$466.80 |
| 90707 |
|
17 |
13 |
$250.65 |
| 82465 |
|
52 |
46 |
$203.52 |
| 90700 |
|
12 |
12 |
$200.52 |
| 90656 |
|
12 |
12 |
$200.52 |
| 90670 |
|
12 |
12 |
$76.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,121 |
871 |
$0.00 |
| 90461 |
|
270 |
197 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
203 |
202 |
$0.00 |
| 1036F |
|
59 |
57 |
$0.00 |
| 91307 |
|
17 |
17 |
$0.00 |