| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,480 |
5,845 |
$303K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,311 |
1,097 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
858 |
806 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
874 |
757 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
746 |
655 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
416 |
356 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,913 |
1,670 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,476 |
1,366 |
$22K |
| 96127 |
|
1,193 |
1,028 |
$20K |
| 99173 |
|
1,992 |
1,791 |
$14K |
| 92558 |
|
1,135 |
1,017 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
430 |
378 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
231 |
214 |
$9K |
| 90670 |
|
705 |
585 |
$6K |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
61 |
60 |
$6K |
| 90686 |
|
345 |
297 |
$3K |
| 90698 |
|
312 |
271 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
46 |
44 |
$2K |
| 81002 |
|
841 |
745 |
$2K |
| 90710 |
|
115 |
94 |
$1K |
| 90680 |
|
145 |
124 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
66 |
63 |
$1K |
| 90671 |
|
59 |
59 |
$1K |
| 90633 |
|
83 |
65 |
$723.97 |
| 87634 |
|
14 |
14 |
$641.72 |
| 90744 |
|
67 |
59 |
$422.40 |
| 90697 |
|
25 |
25 |
$417.75 |
| 90619 |
|
16 |
14 |
$267.36 |
| 87807 |
|
18 |
14 |
$172.93 |
| 90648 |
|
20 |
13 |
$128.00 |
| 90734 |
|
18 |
16 |
$102.40 |
| 99072 |
|
87 |
78 |
$12.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
481 |
414 |
$0.00 |
| 94760 |
|
75 |
52 |
$0.00 |