| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,983 |
9,961 |
$400K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,200 |
4,084 |
$252K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
277 |
265 |
$41K |
| 36415 |
Collection of venous blood by venipuncture |
2,668 |
2,308 |
$33K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
885 |
873 |
$21K |
| S5170 |
Home delivered meals, including preparation; per meal |
2,489 |
97 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
258 |
250 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
142 |
88 |
$10K |
| 80053 |
Comprehensive metabolic panel |
136 |
119 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
304 |
282 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
481 |
461 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
107 |
107 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
63 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
456 |
452 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
45 |
45 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35 |
32 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
65 |
57 |
$2K |
| 99188 |
|
114 |
113 |
$1K |
| 90686 |
|
316 |
307 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$1K |
| 87634 |
|
12 |
12 |
$986.17 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$903.86 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
60 |
59 |
$622.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$493.79 |
| 92551 |
|
96 |
95 |
$470.80 |
| 0071A |
|
14 |
14 |
$314.92 |
| 0002A |
|
13 |
13 |
$260.01 |
| 0001A |
|
12 |
12 |
$124.71 |
| 81003 |
|
42 |
39 |
$97.72 |
| 99173 |
|
70 |
70 |
$61.20 |
| 96127 |
|
473 |
436 |
$37.76 |
| 85018 |
|
13 |
13 |
$37.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
98 |
91 |
$18.03 |
| X5622 |
|
379 |
377 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
30 |
$0.00 |