| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,289 |
1,257 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
831 |
807 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
292 |
289 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
237 |
235 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
171 |
170 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
38 |
$2K |
| 92551 |
|
652 |
644 |
$1K |
| 99051 |
|
27 |
27 |
$675.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
91 |
$618.59 |
| 99173 |
|
552 |
547 |
$572.60 |
| 99188 |
|
24 |
24 |
$478.82 |
| 96160 |
|
209 |
204 |
$230.34 |
| 96127 |
|
94 |
91 |
$189.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
111 |
110 |
$150.13 |
| 90670 |
|
41 |
41 |
$132.00 |
| 94760 |
|
18 |
18 |
$38.20 |
| 96161 |
|
104 |
103 |
$22.98 |
| 85018 |
|
24 |
24 |
$20.94 |
| 80061 |
Lipid panel |
83 |
83 |
$19.07 |
| 90686 |
|
91 |
91 |
$11.00 |
| G9920 |
Screening performed and negative |
393 |
392 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
44 |
44 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 99499 |
|
73 |
73 |
$0.00 |
| 90647 |
|
26 |
26 |
$0.00 |
| 90656 |
|
25 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
72 |
72 |
$0.00 |
| 90677 |
|
44 |
44 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |