| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,226 |
1,092 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
142 |
$15K |
| 90686 |
|
867 |
727 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
125 |
100 |
$10K |
| 92551 |
|
543 |
458 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
39 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
40 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
57 |
48 |
$2K |
| 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) |
141 |
130 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$1K |
| 90656 |
|
45 |
42 |
$852.97 |
| 96127 |
|
221 |
116 |
$837.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$587.09 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51 |
43 |
$529.41 |
| 0071A |
|
15 |
12 |
$500.00 |
| 90672 |
|
18 |
17 |
$373.32 |
| 99174 |
|
30 |
26 |
$350.65 |
| 99173 |
|
96 |
68 |
$169.28 |
| 91307 |
|
60 |
44 |
$153.82 |
| 99072 |
|
44 |
39 |
$122.50 |
| 94760 |
|
16 |
13 |
$43.76 |
| 96161 |
|
21 |
12 |
$42.30 |
| 96160 |
|
49 |
45 |
$2.55 |
| 99000 |
|
15 |
12 |
$0.00 |