| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,320 |
2,001 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
533 |
467 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
159 |
120 |
$11K |
| 90686 |
|
415 |
369 |
$5K |
| 96127 |
|
255 |
223 |
$4K |
| 96160 |
|
263 |
211 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
24 |
15 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
28 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
175 |
162 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
24 |
$1K |
| 90656 |
|
72 |
62 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
24 |
17 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16 |
13 |
$375.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$289.37 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
12 |
$204.40 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
13 |
13 |
$171.47 |
| 4274F |
|
400 |
347 |
$0.00 |
| 1160F |
|
584 |
506 |
$0.00 |
| 1003F |
|
614 |
532 |
$0.00 |
| 3008F |
|
537 |
467 |
$0.00 |
| 1220F |
|
31 |
29 |
$0.00 |
| 1036F |
|
31 |
29 |
$0.00 |