| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,507 |
2,161 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,891 |
2,475 |
$145K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
578 |
404 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
424 |
340 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
378 |
288 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
359 |
265 |
$25K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
761 |
721 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
467 |
342 |
$16K |
| 96127 |
|
674 |
568 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
243 |
226 |
$10K |
| 96160 |
|
654 |
464 |
$10K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
64 |
61 |
$9K |
| 92551 |
|
593 |
469 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
251 |
232 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
470 |
338 |
$8K |
| 90686 |
|
329 |
294 |
$4K |
| 90698 |
|
178 |
139 |
$3K |
| D1206 |
Topical application of fluoride varnish |
83 |
67 |
$2K |
| 99173 |
|
255 |
196 |
$2K |
| 90670 |
|
118 |
104 |
$2K |
| 90674 |
|
91 |
77 |
$2K |
| 90651 |
|
102 |
56 |
$1K |
| 90661 |
|
89 |
80 |
$1K |
| 85018 |
|
497 |
355 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
69 |
50 |
$1K |
| 90671 |
|
41 |
24 |
$914.46 |
| 90619 |
|
56 |
28 |
$881.81 |
| 83655 |
|
77 |
53 |
$868.82 |
| 83718 |
|
102 |
80 |
$794.84 |
| 90680 |
|
46 |
40 |
$693.96 |
| 36416 |
|
131 |
91 |
$525.98 |
| 82465 |
|
96 |
80 |
$399.26 |
| 90633 |
|
17 |
12 |
$279.92 |
| 90700 |
|
22 |
21 |
$276.32 |
| 90744 |
|
15 |
12 |
$250.65 |
| 90647 |
|
18 |
18 |
$226.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$219.80 |
| 90713 |
|
16 |
15 |
$200.96 |
| 90734 |
|
17 |
13 |
$108.80 |