| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
782 |
771 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
322 |
316 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
327 |
326 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
165 |
165 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
207 |
203 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$6K |
| 90686 |
|
248 |
248 |
$4K |
| 92551 |
|
595 |
591 |
$4K |
| 99173 |
|
493 |
491 |
$3K |
| 90670 |
|
116 |
116 |
$3K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 90647 |
|
86 |
86 |
$2K |
| 90723 |
|
43 |
43 |
$967.50 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
24 |
$956.25 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
16 |
$880.00 |
| 99177 |
|
74 |
74 |
$745.86 |
| 90633 |
|
25 |
25 |
$562.50 |
| 99051 |
|
16 |
16 |
$403.62 |
| 96161 |
|
49 |
49 |
$383.67 |
| 90680 |
|
15 |
15 |
$337.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
91 |
$302.41 |
| 90677 |
|
12 |
12 |
$270.00 |
| 90651 |
|
12 |
12 |
$247.50 |
| 96127 |
|
95 |
94 |
$165.40 |
| 96160 |
|
111 |
111 |
$148.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$141.33 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| G9920 |
Screening performed and negative |
18 |
18 |
$0.00 |
| 90661 |
|
40 |
40 |
$0.00 |