| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,607 |
4,367 |
$438K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,257 |
4,063 |
$264K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
671 |
657 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
555 |
526 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
235 |
234 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
376 |
363 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
159 |
156 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
459 |
222 |
$9K |
| 90686 |
|
1,387 |
1,275 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
144 |
117 |
$3K |
| 90648 |
|
968 |
940 |
$3K |
| 90670 |
|
682 |
677 |
$3K |
| 90723 |
|
588 |
579 |
$2K |
| 90680 |
|
446 |
445 |
$1K |
| 90651 |
|
474 |
450 |
$849.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
69 |
$846.72 |
| 90633 |
|
263 |
242 |
$804.00 |
| 99051 |
|
14 |
14 |
$393.75 |
| 90734 |
|
78 |
70 |
$324.00 |
| 90715 |
|
81 |
78 |
$311.03 |
| 0071A |
|
38 |
38 |
$270.00 |
| 0072A |
|
17 |
17 |
$264.00 |
| 92551 |
|
1,585 |
1,522 |
$250.74 |
| 99173 |
|
1,399 |
1,358 |
$195.67 |
| 96127 |
|
505 |
494 |
$152.74 |
| 90710 |
|
27 |
27 |
$144.00 |
| 90696 |
|
28 |
28 |
$144.00 |
| 96160 |
|
520 |
508 |
$131.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
165 |
151 |
$62.84 |
| G9920 |
Screening performed and negative |
868 |
786 |
$0.00 |
| 90661 |
|
123 |
122 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |
| 90619 |
|
213 |
207 |
$0.00 |
| 90656 |
|
88 |
88 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
332 |
316 |
$0.00 |
| 90677 |
|
286 |
265 |
$0.00 |
| 96161 |
|
15 |
15 |
$0.00 |