| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,232 |
2,540 |
$157K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
569 |
488 |
$42K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
291 |
190 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
498 |
431 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
245 |
213 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
244 |
184 |
$12K |
| 90686 |
|
579 |
471 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
481 |
392 |
$6K |
| 96127 |
|
373 |
336 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
67 |
$5K |
| 96160 |
|
368 |
271 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
39 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
147 |
120 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
78 |
54 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
107 |
87 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
40 |
$2K |
| 90670 |
|
65 |
64 |
$812.57 |
| 90656 |
|
41 |
37 |
$685.11 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23 |
12 |
$335.80 |
| 90685 |
|
28 |
28 |
$285.57 |
| 90619 |
|
14 |
12 |
$233.94 |
| 90698 |
|
15 |
15 |
$96.00 |
| 90680 |
|
14 |
14 |
$89.60 |
| 36416 |
|
14 |
12 |
$57.40 |
| 1160F |
|
717 |
613 |
$0.00 |
| 1003F |
|
1,063 |
921 |
$0.00 |
| 4274F |
|
616 |
499 |
$0.00 |
| 3008F |
|
1,058 |
917 |
$0.00 |
| 1220F |
|
57 |
53 |
$0.00 |
| 1036F |
|
71 |
65 |
$0.00 |