| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,300 |
1,141 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
215 |
149 |
$25K |
| 90686 |
|
812 |
714 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
76 |
75 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
475 |
397 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
62 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
27 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
182 |
166 |
$3K |
| 0072A |
|
53 |
52 |
$2K |
| 0071A |
|
51 |
49 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$2K |
| 87428 |
|
37 |
26 |
$2K |
| 96160 |
|
577 |
463 |
$1K |
| 96127 |
|
359 |
242 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
37 |
$736.96 |
| 99051 |
|
83 |
56 |
$525.00 |
| 99173 |
|
206 |
199 |
$405.60 |
| 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) |
26 |
14 |
$397.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
25 |
$355.71 |
| 90648 |
|
16 |
15 |
$325.92 |
| 90670 |
|
12 |
12 |
$279.36 |
| 99072 |
|
2,295 |
2,058 |
$30.73 |
| INVCD |
|
97 |
97 |
$0.00 |
| G9920 |
Screening performed and negative |
292 |
268 |
$0.00 |