| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,783 |
1,740 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
492 |
491 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
911 |
879 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
308 |
304 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
298 |
296 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
194 |
188 |
$13K |
| 92551 |
|
933 |
924 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
32 |
31 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
123 |
$924.21 |
| 99173 |
|
863 |
860 |
$728.20 |
| 99051 |
|
30 |
29 |
$725.00 |
| 90656 |
|
82 |
82 |
$603.62 |
| 90686 |
|
236 |
235 |
$385.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
16 |
$360.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
186 |
185 |
$342.63 |
| 90670 |
|
100 |
100 |
$319.00 |
| 96127 |
|
212 |
199 |
$291.47 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
16 |
16 |
$275.68 |
| 96160 |
|
217 |
214 |
$230.88 |
| 96380 |
|
14 |
14 |
$154.00 |
| 90647 |
|
73 |
73 |
$143.00 |
| 94760 |
|
49 |
47 |
$138.98 |
| 96161 |
|
173 |
170 |
$58.41 |
| 83655 |
|
71 |
71 |
$31.07 |
| 85018 |
|
64 |
64 |
$27.57 |
| 90723 |
|
29 |
29 |
$22.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
167 |
164 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90677 |
|
49 |
49 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 99499 |
|
64 |
64 |
$0.00 |
| G9920 |
Screening performed and negative |
418 |
418 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |