| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,267 |
1,002 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
984 |
843 |
$47K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
92 |
63 |
$13K |
| 96127 |
|
394 |
328 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
81 |
67 |
$4K |
| 90686 |
|
388 |
358 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
44 |
$4K |
| 96160 |
|
228 |
168 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
213 |
176 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
29 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
13 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
47 |
31 |
$1K |
| 90656 |
|
72 |
54 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
16 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$595.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$273.19 |
| 36416 |
|
17 |
17 |
$69.70 |
| 85018 |
|
12 |
12 |
$27.84 |
| 3008F |
|
535 |
455 |
$0.00 |
| 1036F |
|
26 |
25 |
$0.00 |
| 1220F |
|
26 |
25 |
$0.00 |
| 97802 |
|
14 |
13 |
$0.00 |
| 1160F |
|
458 |
404 |
$0.00 |
| 1003F |
|
552 |
470 |
$0.00 |
| 4274F |
|
340 |
311 |
$0.00 |