| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,585 |
6,365 |
$282K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,093 |
2,985 |
$203K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,209 |
1,204 |
$145K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
948 |
947 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
980 |
975 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
483 |
483 |
$55K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
678 |
672 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
456 |
431 |
$13K |
| 92551 |
|
2,124 |
2,120 |
$13K |
| 99188 |
|
535 |
534 |
$13K |
| 99173 |
|
2,135 |
2,131 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,124 |
1,108 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
70 |
$3K |
| 96161 |
|
570 |
568 |
$3K |
| 90677 |
|
207 |
207 |
$2K |
| 90686 |
|
434 |
393 |
$2K |
| 87807 |
|
75 |
75 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
727 |
718 |
$1K |
| 90680 |
|
209 |
209 |
$1K |
| 90670 |
|
193 |
171 |
$1K |
| 90698 |
|
227 |
207 |
$1K |
| 90697 |
|
180 |
180 |
$921.85 |
| 96127 |
|
634 |
633 |
$508.09 |
| 96380 |
|
27 |
27 |
$351.00 |
| 90633 |
|
79 |
78 |
$203.71 |
| 90651 |
|
24 |
24 |
$156.00 |
| 85018 |
|
39 |
39 |
$52.70 |
| 94760 |
|
13 |
13 |
$33.54 |
| 83655 |
|
121 |
121 |
$11.50 |
| 96160 |
|
747 |
746 |
$10.52 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
305 |
305 |
$0.00 |
| 3008F |
|
1,464 |
1,462 |
$0.00 |
| 90656 |
|
114 |
114 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90619 |
|
34 |
34 |
$0.00 |
| G9920 |
Screening performed and negative |
371 |
368 |
$0.00 |
| 90710 |
|
53 |
52 |
$0.00 |
| 90671 |
|
123 |
123 |
$0.00 |
| 80061 |
Lipid panel |
24 |
24 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |