| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,243 |
1,750 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,983 |
2,182 |
$155K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
401 |
349 |
$138K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,050 |
750 |
$69K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,102 |
895 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
737 |
639 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,618 |
1,404 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
365 |
334 |
$27K |
| 90671 |
|
371 |
303 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,183 |
914 |
$17K |
| 90698 |
|
675 |
557 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
140 |
107 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
473 |
358 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
610 |
518 |
$9K |
| 99383 |
|
106 |
56 |
$8K |
| 99173 |
|
803 |
707 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
166 |
89 |
$6K |
| 90680 |
|
327 |
255 |
$5K |
| 90670 |
|
246 |
184 |
$5K |
| 90686 |
|
281 |
230 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
95 |
91 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
280 |
198 |
$4K |
| 90633 |
|
231 |
195 |
$4K |
| 90744 |
|
209 |
181 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
36 |
$3K |
| 90677 |
|
63 |
53 |
$2K |
| 94760 |
|
347 |
265 |
$2K |
| 99381 |
|
12 |
12 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
19 |
19 |
$976.60 |
| 81002 |
|
309 |
299 |
$799.50 |
| 90651 |
|
14 |
13 |
$750.28 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$748.72 |
| 90710 |
|
44 |
24 |
$693.74 |
| 81000 |
|
184 |
166 |
$477.59 |
| 90716 |
|
28 |
25 |
$467.88 |
| 90685 |
|
18 |
12 |
$296.63 |
| 90381 |
|
15 |
14 |
$250.65 |
| 36416 |
|
61 |
57 |
$250.10 |
| 85018 |
|
97 |
86 |
$225.04 |
| 90707 |
|
14 |
12 |
$217.23 |
| 96127 |
|
14 |
14 |
$204.40 |