| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,736 |
2,997 |
$404K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,049 |
3,437 |
$332K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
565 |
465 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
402 |
360 |
$42K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
287 |
257 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
187 |
173 |
$21K |
| 90686 |
|
772 |
693 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
120 |
$14K |
| 90670 |
|
91 |
80 |
$9K |
| 90698 |
|
85 |
76 |
$3K |
| 92551 |
|
272 |
253 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
185 |
82 |
$2K |
| 90656 |
|
90 |
87 |
$2K |
| 96127 |
|
314 |
284 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
67 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24 |
19 |
$923.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$814.84 |
| 99173 |
|
283 |
260 |
$740.23 |
| 0072A |
|
14 |
13 |
$520.00 |
| 0001A |
|
24 |
19 |
$480.00 |
| 90680 |
|
13 |
13 |
$413.23 |
| 99174 |
|
75 |
61 |
$403.11 |
| 0002A |
|
15 |
15 |
$400.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
12 |
$178.74 |
| 96160 |
|
59 |
49 |
$155.18 |
| 96161 |
|
47 |
38 |
$130.95 |
| 36416 |
|
358 |
257 |
$129.97 |
| 85018 |
|
25 |
14 |
$33.74 |
| 99072 |
|
1,468 |
1,213 |
$0.00 |
| 91300 |
|
47 |
41 |
$0.00 |
| 99000 |
|
104 |
81 |
$0.00 |
| 91307 |
|
19 |
19 |
$0.00 |