| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,629 |
2,469 |
$146K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,066 |
1,059 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,714 |
2,586 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,055 |
1,044 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
381 |
381 |
$36K |
| 99188 |
|
913 |
908 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$6K |
| 99460 |
|
67 |
67 |
$4K |
| 83655 |
|
709 |
704 |
$3K |
| 99173 |
|
1,175 |
1,167 |
$3K |
| 92551 |
|
1,126 |
1,115 |
$3K |
| 90686 |
|
1,001 |
937 |
$3K |
| 90648 |
|
772 |
734 |
$2K |
| 96161 |
|
768 |
759 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,866 |
1,790 |
$2K |
| 90670 |
|
642 |
611 |
$2K |
| 90723 |
|
485 |
466 |
$2K |
| 90680 |
|
387 |
376 |
$1K |
| 80061 |
Lipid panel |
91 |
90 |
$895.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
28 |
$523.60 |
| 80053 |
Comprehensive metabolic panel |
37 |
37 |
$450.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
53 |
53 |
$330.00 |
| 96127 |
|
337 |
331 |
$328.75 |
| 90672 |
|
66 |
56 |
$322.55 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
17 |
$255.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
13 |
13 |
$195.00 |
| 85013 |
|
94 |
94 |
$115.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$75.93 |
| 90473 |
|
13 |
13 |
$70.20 |
| 90651 |
|
51 |
43 |
$61.00 |
| 96160 |
|
318 |
313 |
$22.98 |
| 90633 |
|
120 |
120 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90677 |
|
137 |
130 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |