| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,949 |
4,264 |
$246K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
306 |
259 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
611 |
448 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
455 |
337 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
317 |
199 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
778 |
623 |
$12K |
| 87631 |
|
109 |
103 |
$12K |
| 36416 |
|
1,671 |
1,282 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
124 |
118 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
251 |
209 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
126 |
119 |
$6K |
| 86580 |
|
995 |
710 |
$5K |
| 90677 |
|
68 |
52 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
44 |
$4K |
| 85018 |
|
1,731 |
1,242 |
$4K |
| 81002 |
|
1,197 |
925 |
$3K |
| 83655 |
|
195 |
158 |
$2K |
| 80061 |
Lipid panel |
250 |
158 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
21 |
$1K |
| 96127 |
|
76 |
60 |
$1K |
| 99051 |
|
320 |
148 |
$960.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$790.46 |
| 90670 |
|
60 |
52 |
$680.20 |
| 90716 |
|
40 |
39 |
$668.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
45 |
$657.00 |
| 90633 |
|
37 |
27 |
$618.27 |
| 90686 |
|
39 |
25 |
$489.07 |
| 90700 |
|
29 |
26 |
$484.59 |
| 90707 |
|
20 |
14 |
$334.20 |
| 90651 |
|
12 |
12 |
$200.52 |
| 90698 |
|
13 |
13 |
$163.28 |
| 82465 |
|
18 |
18 |
$76.32 |
| 1036F |
|
28 |
28 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,832 |
1,336 |
$0.00 |
| 90461 |
|
776 |
545 |
$0.00 |
| 99072 |
|
61 |
60 |
$0.00 |