| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,995 |
4,938 |
$467K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,556 |
2,862 |
$379K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,520 |
2,055 |
$290K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,410 |
1,143 |
$34K |
| 90686 |
|
1,329 |
1,265 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
644 |
498 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,716 |
682 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
110 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,437 |
1,293 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
81 |
$9K |
| 96127 |
|
1,993 |
1,777 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
52 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
491 |
390 |
$5K |
| 94760 |
|
3,260 |
2,582 |
$3K |
| 90656 |
|
145 |
139 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
27 |
$3K |
| 99051 |
|
208 |
157 |
$2K |
| 90480 |
|
27 |
27 |
$1K |
| 90661 |
|
40 |
32 |
$618.85 |
| 87999 |
|
67 |
30 |
$396.00 |
| 90670 |
|
15 |
13 |
$302.64 |
| 1003F |
|
2,080 |
1,893 |
$218.28 |
| 96160 |
|
116 |
98 |
$210.54 |
| 87807 |
|
17 |
14 |
$176.55 |
| 83655 |
|
13 |
12 |
$142.68 |
| 2001F |
|
2,058 |
1,873 |
$102.60 |
| 99072 |
|
1,695 |
1,410 |
$54.49 |
| 99000 |
|
585 |
455 |
$45.00 |