| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,030 |
1,636 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
977 |
812 |
$78K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
740 |
463 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
295 |
227 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
356 |
293 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
147 |
118 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
133 |
99 |
$10K |
| 99000 |
|
429 |
320 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
104 |
69 |
$7K |
| 96127 |
|
356 |
280 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
62 |
$6K |
| 90686 |
|
314 |
275 |
$3K |
| 92551 |
|
150 |
130 |
$2K |
| 0002A |
|
31 |
29 |
$1K |
| 0071A |
|
22 |
18 |
$884.94 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
38 |
$771.84 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
17 |
15 |
$563.04 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
17 |
$262.80 |
| 90670 |
|
30 |
25 |
$205.60 |
| 90648 |
|
31 |
26 |
$198.40 |
| 36416 |
|
41 |
37 |
$168.10 |
| 90461 |
|
267 |
188 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,013 |
745 |
$0.00 |
| 99051 |
|
69 |
57 |
$0.00 |
| 1003F |
|
765 |
592 |
$0.00 |
| 99072 |
|
512 |
384 |
$0.00 |
| 99177 |
|
14 |
13 |
$0.00 |
| 1036F |
|
36 |
31 |
$0.00 |
| 1220F |
|
32 |
29 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |