| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,050 |
3,809 |
$313K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,022 |
4,666 |
$290K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,823 |
1,675 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,252 |
1,238 |
$98K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
309 |
303 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
794 |
771 |
$30K |
| 99460 |
|
388 |
379 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
325 |
322 |
$25K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
886 |
850 |
$22K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
275 |
265 |
$14K |
| 90723 |
|
513 |
495 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
270 |
257 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,004 |
962 |
$12K |
| 90697 |
|
330 |
324 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
140 |
137 |
$9K |
| 54150 |
|
69 |
67 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
601 |
303 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
71 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
63 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
151 |
146 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
117 |
111 |
$4K |
| 90670 |
|
736 |
716 |
$4K |
| 90648 |
|
728 |
703 |
$4K |
| 99188 |
|
221 |
217 |
$4K |
| 90686 |
|
566 |
562 |
$4K |
| 90710 |
|
114 |
113 |
$3K |
| 90671 |
|
326 |
321 |
$2K |
| 90677 |
|
185 |
185 |
$2K |
| 90681 |
|
295 |
286 |
$2K |
| 92551 |
|
36 |
36 |
$1K |
| 87400 |
|
88 |
43 |
$973.78 |
| 90633 |
|
127 |
124 |
$754.63 |
| 99383 |
|
13 |
13 |
$752.38 |
| 99462 |
|
16 |
12 |
$553.60 |
| 90696 |
|
14 |
14 |
$420.00 |
| 0072A |
|
14 |
13 |
$325.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$222.86 |
| 90715 |
|
13 |
13 |
$217.80 |
| 99173 |
|
16 |
16 |
$100.80 |
| 90651 |
|
14 |
13 |
$72.63 |
| 91307 |
|
18 |
15 |
$0.00 |