| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,216 |
3,116 |
$248K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,563 |
1,561 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,691 |
2,617 |
$133K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,345 |
1,333 |
$119K |
| 99051 |
|
2,033 |
2,007 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
746 |
744 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
702 |
689 |
$10K |
| 99188 |
|
269 |
269 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
51 |
$4K |
| 99381 |
|
25 |
25 |
$3K |
| 90670 |
|
807 |
788 |
$3K |
| 90648 |
|
1,116 |
1,098 |
$3K |
| 90723 |
|
794 |
778 |
$2K |
| 90686 |
|
638 |
628 |
$2K |
| 90680 |
|
690 |
680 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 85018 |
|
789 |
781 |
$555.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,417 |
1,414 |
$523.53 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$499.59 |
| 90633 |
|
322 |
317 |
$462.00 |
| 87428 |
|
15 |
15 |
$357.45 |
| 99177 |
|
422 |
422 |
$330.87 |
| 92551 |
|
345 |
345 |
$206.56 |
| 90707 |
|
38 |
38 |
$132.00 |
| 90716 |
|
38 |
38 |
$132.00 |
| 96127 |
|
221 |
221 |
$49.28 |
| 96160 |
|
221 |
221 |
$42.88 |
| 80061 |
Lipid panel |
14 |
14 |
$24.21 |
| 83655 |
|
231 |
231 |
$18.47 |
| 90710 |
|
15 |
15 |
$0.00 |
| G9920 |
Screening performed and negative |
702 |
700 |
$0.00 |
| 90661 |
|
53 |
53 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
53 |
53 |
$0.00 |
| 90677 |
|
324 |
324 |
$0.00 |
| 96161 |
|
1,152 |
1,142 |
$0.00 |
| 90656 |
|
82 |
82 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |