| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,043 |
950 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
92 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
80 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
203 |
168 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
83 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
58 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
62 |
54 |
$4K |
| 96127 |
|
186 |
163 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
37 |
35 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
32 |
$2K |
| 90686 |
|
99 |
94 |
$2K |
| 92551 |
|
90 |
84 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
61 |
60 |
$861.40 |
| 90656 |
|
35 |
34 |
$591.43 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
13 |
$305.51 |
| 90671 |
|
14 |
14 |
$270.13 |
| 36416 |
|
21 |
13 |
$86.10 |
| 1036F |
|
86 |
83 |
$0.00 |
| 1220F |
|
65 |
62 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
435 |
395 |
$0.00 |
| 1003F |
|
423 |
384 |
$0.00 |
| 90461 |
|
72 |
64 |
$0.00 |