| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,544 |
1,298 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
423 |
332 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
223 |
187 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
174 |
$15K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
54 |
27 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
54 |
$4K |
| 96160 |
|
198 |
154 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
28 |
$2K |
| 96127 |
|
148 |
116 |
$2K |
| 90686 |
|
209 |
179 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
62 |
62 |
$798.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
26 |
$753.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
13 |
$626.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
17 |
14 |
$398.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
15 |
$329.70 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$204.40 |
| 90670 |
|
23 |
12 |
$147.20 |
| 3008F |
|
727 |
642 |
$0.00 |
| 1220F |
|
28 |
28 |
$0.00 |
| 1036F |
|
28 |
28 |
$0.00 |
| 1160F |
|
490 |
439 |
$0.00 |
| 4274F |
|
200 |
169 |
$0.00 |
| 1003F |
|
753 |
662 |
$0.00 |