| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,788 |
2,312 |
$210K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,955 |
1,680 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
378 |
342 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
217 |
197 |
$17K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
110 |
108 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
170 |
159 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
220 |
191 |
$6K |
| 87631 |
|
49 |
46 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
113 |
105 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
209 |
189 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
187 |
153 |
$3K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
30 |
30 |
$2K |
| 96127 |
|
67 |
60 |
$919.40 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
26 |
26 |
$650.00 |
| 90756 |
|
29 |
29 |
$484.59 |
| 90619 |
|
24 |
13 |
$355.39 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
24 |
$334.88 |
| 94760 |
|
28 |
27 |
$22.00 |
| 99000 |
|
62 |
57 |
$0.00 |