| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,225 |
1,115 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,754 |
1,555 |
$87K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
223 |
194 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
105 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
323 |
306 |
$8K |
| 96160 |
|
425 |
302 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
46 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
32 |
$3K |
| 92551 |
|
220 |
177 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
77 |
65 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
57 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
115 |
79 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
26 |
$2K |
| 96127 |
|
77 |
65 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
19 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
25 |
$1K |
| 90686 |
|
103 |
94 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
58 |
40 |
$932.52 |
| 90674 |
|
37 |
35 |
$618.27 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
35 |
31 |
$511.00 |
| 85018 |
|
168 |
132 |
$387.86 |
| 90661 |
|
23 |
22 |
$384.33 |
| 90671 |
|
21 |
12 |
$350.91 |
| 90698 |
|
21 |
12 |
$350.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
12 |
$251.20 |
| 36416 |
|
45 |
31 |
$184.50 |