| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
801 |
699 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,243 |
1,107 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
383 |
288 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
404 |
325 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
614 |
545 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
749 |
493 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
200 |
166 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
695 |
626 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
672 |
580 |
$11K |
| 99173 |
|
904 |
696 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
244 |
207 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
285 |
257 |
$4K |
| 90651 |
|
152 |
90 |
$4K |
| 96127 |
|
155 |
86 |
$2K |
| 90619 |
|
102 |
58 |
$2K |
| 90715 |
|
79 |
40 |
$1K |
| 90734 |
|
80 |
37 |
$1K |
| 90707 |
|
77 |
55 |
$1K |
| 90716 |
|
61 |
43 |
$1K |
| 87807 |
|
63 |
53 |
$633.78 |
| 83655 |
|
34 |
28 |
$403.24 |
| 90656 |
|
23 |
23 |
$384.33 |
| 90633 |
|
17 |
13 |
$275.77 |
| 90686 |
|
13 |
13 |
$217.23 |
| 90698 |
|
12 |
12 |
$200.52 |
| 90677 |
|
12 |
12 |
$200.52 |
| 36416 |
|
41 |
33 |
$172.20 |
| 85018 |
|
43 |
35 |
$99.76 |
| 81003 |
|
15 |
14 |
$32.70 |
| 1159F |
|
373 |
291 |
$0.00 |
| 3210F |
|
293 |
250 |
$0.00 |
| 1003F |
|
260 |
170 |
$0.00 |
| 1220F |
|
243 |
179 |
$0.00 |
| 3351F |
|
115 |
54 |
$0.00 |