| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,911 |
2,483 |
$141K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
217 |
201 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
218 |
166 |
$15K |
| 87631 |
|
56 |
31 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
58 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
338 |
291 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
40 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
73 |
44 |
$4K |
| 90677 |
|
31 |
27 |
$2K |
| 36416 |
|
506 |
404 |
$2K |
| 85018 |
|
536 |
405 |
$1K |
| 81002 |
|
344 |
270 |
$883.05 |
| 99051 |
|
228 |
104 |
$725.00 |
| 83655 |
|
52 |
39 |
$616.72 |
| 90670 |
|
38 |
27 |
$597.63 |
| 80061 |
Lipid panel |
40 |
26 |
$345.32 |
| 90698 |
|
15 |
13 |
$176.08 |
| 86580 |
|
14 |
13 |
$92.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
459 |
355 |
$0.00 |
| 90461 |
|
127 |
97 |
$0.00 |
| 99072 |
|
30 |
26 |
$0.00 |