| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
893 |
780 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
108 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
126 |
114 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
86 |
$10K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
63 |
60 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
94 |
84 |
$4K |
| 96160 |
|
244 |
214 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
45 |
$4K |
| 96127 |
|
179 |
129 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
41 |
$851.72 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$834.24 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$769.65 |
| 90686 |
|
59 |
47 |
$742.39 |
| 90670 |
|
14 |
13 |
$704.93 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
60 |
50 |
$569.40 |
| 0072A |
|
12 |
12 |
$505.68 |
| 90619 |
|
27 |
12 |
$388.81 |
| 91307 |
|
23 |
15 |
$0.00 |
| 1220F |
|
76 |
56 |
$0.00 |
| 3008F |
|
502 |
412 |
$0.00 |
| 1036F |
|
75 |
55 |
$0.00 |
| 1003F |
|
519 |
427 |
$0.00 |
| 1160F |
|
744 |
663 |
$0.00 |
| 3210F |
|
87 |
78 |
$0.00 |
| 4274F |
|
38 |
27 |
$0.00 |