| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,018 |
1,393 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,431 |
1,024 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
435 |
289 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
937 |
682 |
$19K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
95 |
82 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
121 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
139 |
117 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
77 |
43 |
$4K |
| 96127 |
|
243 |
180 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
48 |
40 |
$2K |
| 96160 |
|
131 |
110 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
12 |
$2K |
| 90670 |
|
23 |
14 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$1K |
| 90686 |
|
72 |
71 |
$974.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
20 |
$903.02 |
| 90723 |
|
18 |
12 |
$476.40 |
| 85018 |
|
138 |
90 |
$302.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
16 |
$293.35 |
| 90685 |
|
19 |
13 |
$193.60 |
| 81002 |
|
12 |
12 |
$31.20 |
| 99072 |
|
399 |
290 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
41 |
$0.00 |
| 90461 |
|
44 |
32 |
$0.00 |