| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,955 |
3,366 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,491 |
2,986 |
$156K |
| 87999 |
|
949 |
787 |
$77K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
528 |
493 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,349 |
900 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,107 |
1,617 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
476 |
436 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
316 |
314 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
170 |
161 |
$13K |
| 92558 |
|
1,152 |
1,010 |
$13K |
| 83655 |
|
1,068 |
810 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
566 |
482 |
$9K |
| 36416 |
|
1,141 |
899 |
$4K |
| 96127 |
|
285 |
240 |
$4K |
| 85018 |
|
1,683 |
1,408 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
25 |
25 |
$3K |
| 90670 |
|
442 |
310 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
190 |
180 |
$2K |
| 99173 |
|
307 |
272 |
$2K |
| 81003 |
|
869 |
770 |
$2K |
| 90686 |
|
209 |
197 |
$1K |
| 90698 |
|
130 |
98 |
$977.76 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
13 |
13 |
$975.00 |
| 87807 |
|
90 |
64 |
$885.28 |
| 90633 |
|
68 |
50 |
$409.60 |
| 90680 |
|
58 |
44 |
$364.80 |
| 90734 |
|
32 |
31 |
$204.80 |
| 90685 |
|
14 |
13 |
$83.20 |
| 90715 |
|
13 |
13 |
$83.20 |
| 90688 |
|
13 |
13 |
$83.20 |
| 96161 |
|
72 |
43 |
$0.00 |