| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,743 |
1,674 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,542 |
1,492 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
444 |
434 |
$40K |
| 99051 |
|
1,013 |
995 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
141 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
141 |
138 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
98 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
90 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
572 |
557 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
76 |
73 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
85 |
$2K |
| 96160 |
|
822 |
810 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99173 |
|
447 |
442 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
57 |
$1K |
| 87428 |
|
58 |
58 |
$1K |
| 90686 |
|
159 |
124 |
$750.20 |
| 99072 |
|
332 |
309 |
$700.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
27 |
$639.30 |
| 99177 |
|
124 |
121 |
$450.89 |
| 92551 |
|
315 |
311 |
$361.83 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
309 |
300 |
$246.91 |
| 96127 |
|
154 |
154 |
$181.28 |
| 83655 |
|
205 |
202 |
$178.34 |
| 85018 |
|
49 |
49 |
$30.67 |
| 96161 |
|
78 |
77 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
147 |
145 |
$0.00 |
| 90677 |
|
29 |
29 |
$0.00 |
| G9920 |
Screening performed and negative |
229 |
229 |
$0.00 |
| 90661 |
|
56 |
56 |
$0.00 |
| 90648 |
|
41 |
41 |
$0.00 |