| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,685 |
2,478 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,365 |
1,267 |
$133K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
255 |
241 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
179 |
174 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
155 |
154 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
173 |
154 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
344 |
157 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
65 |
65 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
268 |
252 |
$3K |
| 90686 |
|
385 |
344 |
$1K |
| 90648 |
|
41 |
41 |
$324.00 |
| 90670 |
|
54 |
54 |
$324.00 |
| 90680 |
|
12 |
12 |
$144.00 |
| 90651 |
|
89 |
83 |
$144.00 |
| 90723 |
|
12 |
12 |
$144.00 |
| 87428 |
|
27 |
26 |
$131.25 |
| 92551 |
|
527 |
501 |
$122.91 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
282 |
204 |
$95.38 |
| 96127 |
|
325 |
302 |
$88.02 |
| 96160 |
|
326 |
303 |
$77.47 |
| G9920 |
Screening performed and negative |
430 |
388 |
$0.00 |
| 99177 |
|
126 |
120 |
$0.00 |
| 90661 |
|
60 |
60 |
$0.00 |
| 99173 |
|
74 |
73 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
231 |
214 |
$0.00 |
| 96161 |
|
25 |
25 |
$0.00 |
| 90619 |
|
25 |
24 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |