| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
903 |
401 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146 |
132 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
73 |
$7K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
13 |
12 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
53 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
48 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
26 |
24 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
118 |
104 |
$2K |
| 92551 |
|
135 |
120 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
52 |
$1K |
| 99252 |
|
35 |
27 |
$1K |
| 99173 |
|
97 |
89 |
$696.59 |
| 83655 |
|
58 |
56 |
$687.88 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
102 |
99 |
$585.48 |
| 90633 |
|
31 |
30 |
$518.01 |
| 90670 |
|
29 |
26 |
$417.75 |
| 96127 |
|
28 |
27 |
$408.80 |
| 90651 |
|
24 |
24 |
$384.33 |
| 36415 |
Collection of venous blood by venipuncture |
79 |
76 |
$209.10 |
| 80053 |
Comprehensive metabolic panel |
16 |
16 |
$148.39 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$88.20 |
| 80061 |
Lipid panel |
13 |
13 |
$72.48 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
25 |
$0.00 |