| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,384 |
2,118 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,527 |
3,124 |
$126K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
843 |
828 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
869 |
824 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
720 |
711 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
512 |
503 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,323 |
1,228 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,593 |
1,395 |
$24K |
| 92551 |
|
1,916 |
1,877 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,045 |
1,725 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
255 |
224 |
$5K |
| 99173 |
|
1,845 |
1,799 |
$5K |
| 99188 |
|
279 |
273 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
82 |
81 |
$4K |
| 99177 |
|
346 |
338 |
$4K |
| 96127 |
|
581 |
572 |
$2K |
| 92558 |
|
30 |
12 |
$1K |
| 0002A |
|
22 |
22 |
$812.00 |
| 0071A |
|
19 |
19 |
$680.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
101 |
96 |
$667.22 |
| 0072A |
|
16 |
15 |
$652.00 |
| 96160 |
|
396 |
392 |
$641.75 |
| 90686 |
|
293 |
284 |
$476.18 |
| 0001A |
|
20 |
20 |
$469.00 |
| 99401 |
|
163 |
161 |
$436.00 |
| 96161 |
|
238 |
217 |
$399.39 |
| 90698 |
|
27 |
27 |
$180.00 |
| 83655 |
|
94 |
93 |
$179.45 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
274 |
260 |
$6.25 |
| 99072 |
|
199 |
194 |
$0.00 |
| 91300 |
|
60 |
55 |
$0.00 |
| 90670 |
|
76 |
74 |
$0.00 |
| 90671 |
|
40 |
39 |
$0.00 |
| 90661 |
|
38 |
38 |
$0.00 |
| 90697 |
|
79 |
79 |
$0.00 |
| 36416 |
|
16 |
15 |
$0.00 |
| 91307 |
|
24 |
23 |
$0.00 |
| 90619 |
|
17 |
16 |
$0.00 |