| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,871 |
4,063 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,635 |
2,251 |
$206K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
695 |
586 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,157 |
879 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
949 |
693 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
544 |
475 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
309 |
257 |
$26K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
722 |
668 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,015 |
823 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
406 |
247 |
$14K |
| 96127 |
|
670 |
570 |
$12K |
| 96160 |
|
811 |
585 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
547 |
349 |
$12K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
27 |
27 |
$9K |
| 92551 |
|
551 |
446 |
$8K |
| 90698 |
|
509 |
363 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
164 |
113 |
$7K |
| 90686 |
|
588 |
503 |
$6K |
| D1206 |
Topical application of fluoride varnish |
228 |
179 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
138 |
120 |
$6K |
| 90670 |
|
279 |
215 |
$4K |
| 90671 |
|
180 |
114 |
$3K |
| 90651 |
|
123 |
87 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
146 |
129 |
$2K |
| 83655 |
|
188 |
152 |
$2K |
| 99173 |
|
271 |
218 |
$2K |
| 85018 |
|
785 |
648 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
104 |
86 |
$2K |
| 90674 |
|
73 |
67 |
$1K |
| 90680 |
|
70 |
53 |
$974.22 |
| 99174 |
|
118 |
100 |
$879.10 |
| 90661 |
|
51 |
45 |
$835.50 |
| 83718 |
|
105 |
86 |
$797.42 |
| 36416 |
|
164 |
133 |
$668.30 |
| 90734 |
|
12 |
12 |
$584.60 |
| 94760 |
|
154 |
135 |
$520.68 |
| 82465 |
|
100 |
86 |
$416.06 |
| 90744 |
|
34 |
30 |
$387.54 |
| 90633 |
|
29 |
24 |
$331.95 |
| 90700 |
|
14 |
13 |
$175.84 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$167.44 |