| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,085 |
2,597 |
$153K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
611 |
488 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
485 |
390 |
$33K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
188 |
155 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195 |
181 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
499 |
438 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
778 |
671 |
$13K |
| 90677 |
|
78 |
71 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
57 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
37 |
$3K |
| 90686 |
|
222 |
185 |
$3K |
| 87631 |
|
15 |
15 |
$2K |
| 81002 |
|
547 |
481 |
$1K |
| 36416 |
|
313 |
248 |
$1K |
| 90670 |
|
98 |
88 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
18 |
$923.58 |
| 85018 |
|
348 |
261 |
$807.36 |
| 90661 |
|
38 |
38 |
$634.98 |
| 96127 |
|
39 |
35 |
$569.40 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$549.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
35 |
34 |
$511.00 |
| 90698 |
|
26 |
24 |
$434.46 |
| 83655 |
|
28 |
25 |
$332.08 |
| 99051 |
|
38 |
13 |
$120.00 |
| 80061 |
Lipid panel |
12 |
12 |
$96.36 |
| 86580 |
|
13 |
13 |
$67.86 |
| 1036F |
|
31 |
31 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,476 |
1,167 |
$0.00 |
| 90461 |
|
577 |
443 |
$0.00 |
| 99072 |
|
19 |
18 |
$0.00 |