| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
560 |
525 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
291 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
102 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
96 |
$7K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
50 |
50 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
64 |
60 |
$3K |
| 96160 |
|
116 |
113 |
$2K |
| 90686 |
|
67 |
60 |
$1K |
| 90734 |
|
12 |
12 |
$200.52 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
12 |
$144.32 |
| 99406 |
|
17 |
15 |
$136.34 |
| 1033F |
|
17 |
15 |
$0.00 |
| 4000F |
|
17 |
15 |
$0.00 |