| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,528 |
1,455 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,963 |
1,842 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
392 |
391 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
372 |
371 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
140 |
139 |
$13K |
| 99051 |
|
347 |
341 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
96 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
330 |
324 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
73 |
73 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
178 |
88 |
$2K |
| 87428 |
|
74 |
74 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 90686 |
|
246 |
245 |
$484.00 |
| 92551 |
|
485 |
484 |
$415.92 |
| 80061 |
Lipid panel |
79 |
79 |
$330.87 |
| 96127 |
|
238 |
237 |
$222.64 |
| 96160 |
|
238 |
237 |
$193.73 |
| 99177 |
|
248 |
247 |
$142.29 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
426 |
426 |
$115.49 |
| 99173 |
|
101 |
101 |
$79.37 |
| G9919 |
Screening performed and positive and provision of recommendations |
62 |
62 |
$0.00 |
| 83655 |
|
27 |
27 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| G9920 |
Screening performed and negative |
341 |
339 |
$0.00 |
| 90648 |
|
73 |
73 |
$0.00 |
| 90715 |
|
17 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
188 |
183 |
$0.00 |
| 90651 |
|
53 |
52 |
$0.00 |
| 96161 |
|
133 |
133 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 85018 |
|
16 |
16 |
$0.00 |
| 90619 |
|
33 |
32 |
$0.00 |
| 90677 |
|
44 |
44 |
$0.00 |