| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,117 |
2,852 |
$262K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,357 |
2,191 |
$129K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
902 |
868 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
715 |
690 |
$71K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
455 |
443 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
206 |
206 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
605 |
313 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
412 |
401 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
70 |
$7K |
| 99188 |
|
288 |
260 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
381 |
356 |
$4K |
| 87428 |
|
120 |
115 |
$2K |
| 90686 |
|
415 |
400 |
$874.64 |
| 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) |
379 |
348 |
$255.20 |
| 96127 |
|
79 |
79 |
$56.00 |
| 96160 |
|
80 |
79 |
$41.78 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90670 |
|
190 |
189 |
$0.00 |
| 90648 |
|
370 |
347 |
$0.00 |
| 90633 |
|
108 |
98 |
$0.00 |
| G9920 |
Screening performed and negative |
461 |
423 |
$0.00 |
| 99177 |
|
25 |
25 |
$0.00 |
| 90661 |
|
25 |
25 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 90723 |
|
225 |
212 |
$0.00 |
| 96161 |
|
148 |
133 |
$0.00 |
| 92551 |
|
107 |
105 |
$0.00 |
| 90680 |
|
126 |
116 |
$0.00 |
| 90677 |
|
192 |
170 |
$0.00 |
| 90619 |
|
33 |
31 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
68 |
66 |
$0.00 |
| 90656 |
|
61 |
60 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |