| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,530 |
1,943 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,510 |
2,849 |
$159K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
587 |
516 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
519 |
429 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
306 |
223 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
162 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,007 |
855 |
$15K |
| 99173 |
|
1,180 |
1,023 |
$8K |
| 90686 |
|
699 |
593 |
$6K |
| 90670 |
|
242 |
194 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
360 |
336 |
$4K |
| 96127 |
|
206 |
161 |
$3K |
| 96111 |
|
218 |
199 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
144 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
722 |
639 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
96 |
$2K |
| 90648 |
|
163 |
124 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$965.10 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
12 |
12 |
$900.00 |
| 90461 |
|
234 |
213 |
$546.05 |
| 90756 |
|
33 |
31 |
$543.13 |
| 96112 |
|
18 |
14 |
$462.54 |
| 90651 |
|
59 |
54 |
$364.80 |
| 90633 |
|
40 |
36 |
$339.29 |
| 90723 |
|
39 |
24 |
$243.20 |
| 90688 |
|
20 |
20 |
$128.00 |
| 90685 |
|
14 |
12 |
$110.80 |
| 94760 |
|
36 |
25 |
$35.20 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$0.00 |