| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,445 |
3,344 |
$257K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,542 |
4,396 |
$216K |
| 99051 |
|
4,607 |
4,464 |
$131K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
475 |
470 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,160 |
1,147 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
138 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
134 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
104 |
$10K |
| 87428 |
|
327 |
323 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
688 |
342 |
$8K |
| 99215 |
Prolong outpt/office vis |
59 |
53 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
37 |
$3K |
| 99173 |
|
58 |
58 |
$125.00 |
| 96127 |
|
223 |
223 |
$119.68 |
| 96160 |
|
223 |
223 |
$104.14 |
| 92551 |
|
281 |
281 |
$58.40 |
| 80061 |
Lipid panel |
42 |
42 |
$24.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
92 |
$21.56 |
| 99177 |
|
134 |
134 |
$21.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
74 |
73 |
$0.00 |
| 90686 |
|
120 |
119 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 96161 |
|
15 |
15 |
$0.00 |
| G9920 |
Screening performed and negative |
86 |
86 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |