| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,424 |
1,134 |
$109K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
147 |
139 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
339 |
305 |
$16K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
163 |
123 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
76 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
42 |
$4K |
| 96127 |
|
294 |
228 |
$4K |
| 90686 |
|
340 |
295 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
58 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
18 |
16 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
12 |
$1K |
| 0071A |
|
27 |
27 |
$1K |
| 92551 |
|
74 |
71 |
$1K |
| 0072A |
|
18 |
18 |
$758.52 |
| 90734 |
|
15 |
15 |
$603.80 |
| 0002A |
|
14 |
14 |
$589.96 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$510.81 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
14 |
$500.80 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12 |
12 |
$281.52 |
| 90715 |
|
13 |
13 |
$147.74 |
| 90670 |
|
16 |
12 |
$102.40 |
| 36416 |
|
17 |
12 |
$69.70 |
| 99051 |
|
38 |
27 |
$50.00 |
| 85018 |
|
14 |
14 |
$32.48 |
| 91307 |
|
38 |
38 |
$0.01 |
| 99072 |
|
159 |
143 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
14 |
$0.00 |