| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
667 |
527 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
325 |
277 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 92551 |
|
163 |
146 |
$1K |
| 90658 |
|
56 |
56 |
$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) |
70 |
68 |
$1K |
| 96127 |
|
176 |
156 |
$744.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$742.08 |
| 96161 |
|
284 |
229 |
$631.56 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
12 |
$542.76 |
| 96160 |
|
104 |
93 |
$293.62 |
| 99173 |
|
83 |
79 |
$208.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$158.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
14 |
$97.46 |
| 99000 |
|
90 |
73 |
$45.00 |
| 99001 |
|
66 |
51 |
$0.00 |