| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,739 |
4,583 |
$369K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,693 |
2,634 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
750 |
750 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
741 |
739 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
551 |
546 |
$46K |
| 99051 |
|
1,638 |
1,616 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
382 |
382 |
$33K |
| 99215 |
Prolong outpt/office vis |
267 |
255 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
910 |
890 |
$13K |
| 87428 |
|
430 |
430 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
328 |
326 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
457 |
227 |
$6K |
| 99188 |
|
228 |
228 |
$5K |
| 90686 |
|
928 |
922 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71 |
71 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
30 |
30 |
$579.00 |
| 92551 |
|
737 |
737 |
$490.70 |
| 90648 |
|
260 |
260 |
$452.00 |
| 90670 |
|
160 |
160 |
$440.00 |
| 96127 |
|
615 |
613 |
$418.44 |
| 96160 |
|
598 |
598 |
$341.91 |
| 0071A |
|
25 |
25 |
$308.00 |
| 90651 |
|
144 |
143 |
$258.54 |
| 90680 |
|
37 |
37 |
$156.00 |
| 90723 |
|
74 |
74 |
$143.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
479 |
479 |
$125.74 |
| 99173 |
|
108 |
108 |
$117.48 |
| 99177 |
|
307 |
307 |
$60.50 |
| 80061 |
Lipid panel |
13 |
13 |
$48.42 |
| G9920 |
Screening performed and negative |
472 |
472 |
$0.00 |
| 83655 |
|
25 |
25 |
$0.00 |
| 90661 |
|
48 |
48 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 96161 |
|
264 |
263 |
$0.00 |
| 90677 |
|
87 |
87 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
192 |
190 |
$0.00 |
| 90656 |
|
124 |
124 |
$0.00 |
| 90619 |
|
27 |
27 |
$0.00 |