| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,875 |
3,371 |
$192K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
223 |
195 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
425 |
338 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
366 |
304 |
$25K |
| 87631 |
|
126 |
110 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
167 |
122 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
655 |
558 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
122 |
103 |
$6K |
| 90677 |
|
100 |
98 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
17 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$1K |
| 81002 |
|
474 |
411 |
$1K |
| 36416 |
|
239 |
200 |
$943.00 |
| 96127 |
|
47 |
29 |
$686.20 |
| 86580 |
|
127 |
78 |
$633.37 |
| 85018 |
|
269 |
199 |
$610.16 |
| 83655 |
|
49 |
36 |
$545.56 |
| 90670 |
|
30 |
30 |
$501.30 |
| 90698 |
|
28 |
27 |
$467.88 |
| 80061 |
Lipid panel |
42 |
26 |
$354.68 |
| 99051 |
|
122 |
67 |
$275.00 |
| 90680 |
|
16 |
15 |
$267.36 |
| 90744 |
|
13 |
13 |
$217.23 |
| 90633 |
|
12 |
12 |
$200.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,030 |
804 |
$172.88 |
| 90700 |
|
21 |
12 |
$115.20 |
| 90716 |
|
16 |
13 |
$83.20 |
| 99072 |
|
80 |
66 |
$1.25 |
| 90461 |
|
308 |
228 |
$0.00 |