| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,147 |
964 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
781 |
607 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
53 |
$4K |
| 90686 |
|
330 |
255 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
28 |
$3K |
| 96127 |
|
266 |
177 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
28 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
117 |
99 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
13 |
$797.28 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
13 |
$537.06 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
31 |
29 |
$395.70 |
| 90734 |
|
12 |
12 |
$346.90 |
| 90633 |
|
12 |
12 |
$208.36 |
| 87430 |
|
13 |
12 |
$204.10 |