| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,609 |
1,314 |
$186K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,658 |
1,327 |
$129K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
906 |
697 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,986 |
1,682 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
405 |
365 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
417 |
371 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
336 |
317 |
$37K |
| 92552 |
|
774 |
689 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
150 |
133 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
986 |
867 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
181 |
143 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
368 |
306 |
$6K |
| 92587 |
|
355 |
299 |
$6K |
| 90686 |
|
253 |
238 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
110 |
106 |
$5K |
| 99177 |
|
1,126 |
1,014 |
$5K |
| 87428 |
|
106 |
57 |
$4K |
| 90677 |
|
19 |
14 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
249 |
210 |
$3K |
| 90688 |
|
141 |
115 |
$3K |
| 96127 |
|
531 |
499 |
$2K |
| 99173 |
|
959 |
829 |
$2K |
| 92551 |
|
173 |
161 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
127 |
46 |
$1K |
| 90656 |
|
31 |
29 |
$692.58 |
| 90670 |
|
20 |
14 |
$325.92 |
| 90698 |
|
21 |
14 |
$325.92 |
| 90715 |
|
14 |
12 |
$298.00 |
| 90661 |
|
17 |
14 |
$267.66 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
40 |
13 |
$190.65 |
| 99072 |
|
288 |
222 |
$22.50 |