| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,895 |
1,534 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,206 |
1,027 |
$140K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
973 |
850 |
$9K |
| 90686 |
|
322 |
292 |
$7K |
| 87428 |
|
155 |
135 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
45 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
108 |
75 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
108 |
98 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
32 |
25 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
287 |
245 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
59 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
24 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
318 |
128 |
$3K |
| 92552 |
|
89 |
87 |
$2K |
| 92551 |
|
201 |
186 |
$2K |
| 96127 |
|
320 |
302 |
$1K |
| 94760 |
|
617 |
496 |
$1K |
| 87807 |
|
94 |
62 |
$827.48 |
| 90656 |
|
29 |
29 |
$675.12 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
49 |
43 |
$488.00 |
| 99173 |
|
177 |
173 |
$451.92 |
| 99072 |
|
268 |
225 |
$0.00 |
| 99000 |
|
42 |
37 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$0.00 |