| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,359 |
1,332 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,622 |
2,483 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
399 |
399 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
813 |
789 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
218 |
207 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
136 |
136 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
163 |
163 |
$7K |
| 90686 |
|
652 |
652 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
36 |
$3K |
| 96151 |
|
100 |
100 |
$2K |
| 90670 |
|
247 |
247 |
$2K |
| G9920 |
Screening performed and negative |
62 |
62 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
73 |
$2K |
| 85018 |
|
702 |
589 |
$2K |
| 92551 |
|
113 |
113 |
$1K |
| 90697 |
|
85 |
85 |
$765.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
24 |
23 |
$486.06 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
30 |
$331.70 |
| 90633 |
|
18 |
18 |
$162.00 |
| 90651 |
|
14 |
14 |
$126.00 |
| 90698 |
|
14 |
14 |
$126.00 |
| 90700 |
|
12 |
12 |
$108.00 |
| 90648 |
|
12 |
12 |
$108.00 |
| 96127 |
|
19 |
19 |
$91.39 |
| 0270 |
|
785 |
549 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
59 |
59 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
225 |
221 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
41 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
247 |
240 |
$0.00 |
| 84703 |
|
44 |
40 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
191 |
189 |
$0.00 |
| 83690 |
|
62 |
61 |
$0.00 |
| 81001 |
|
330 |
320 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
277 |
274 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
56 |
56 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
15 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
43 |
41 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
16 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
48 |
46 |
$0.00 |
| 81025 |
|
45 |
44 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
28 |
28 |
$0.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
48 |
47 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
39 |
39 |
$0.00 |
| 0450 |
Emergency room services |
1,575 |
1,494 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
24 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
44 |
43 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$0.00 |
| 94664 |
|
15 |
15 |
$0.00 |