| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,177 |
1,096 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
352 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
84 |
84 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57 |
55 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
135 |
66 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
82 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
230 |
219 |
$0.00 |
| 96160 |
|
60 |
60 |
$0.00 |
| G9920 |
Screening performed and negative |
215 |
209 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |
| 90648 |
|
57 |
49 |
$0.00 |
| 99177 |
|
28 |
28 |
$0.00 |
| 90661 |
|
23 |
23 |
$0.00 |
| 90651 |
|
39 |
38 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
79 |
$0.00 |
| 92551 |
|
151 |
151 |
$0.00 |
| 90686 |
|
159 |
157 |
$0.00 |
| 90656 |
|
53 |
53 |
$0.00 |
| 96127 |
|
60 |
60 |
$0.00 |
| 90619 |
|
17 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
29 |
$0.00 |
| 90677 |
|
20 |
12 |
$0.00 |