| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
939 |
866 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
477 |
397 |
$38K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
960 |
932 |
$28K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
582 |
569 |
$27K |
| 87428 |
|
188 |
167 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
75 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
321 |
255 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
61 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
54 |
$5K |
| 96127 |
|
210 |
179 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
30 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
49 |
34 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
59 |
$905.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
69 |
57 |
$890.60 |
| 90686 |
|
52 |
45 |
$826.34 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$363.93 |
| 90656 |
|
16 |
16 |
$260.52 |
| 90633 |
|
15 |
12 |
$242.35 |
| 87807 |
|
13 |
12 |
$120.72 |
| 36416 |
|
20 |
16 |
$82.00 |
| 85018 |
|
32 |
28 |
$74.24 |
| 81002 |
|
14 |
14 |
$33.99 |