| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,172 |
1,117 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
753 |
722 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
121 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
158 |
157 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
311 |
309 |
$3K |
| 99050 |
|
16 |
13 |
$2K |
| 92551 |
|
409 |
408 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
83 |
$2K |
| 99173 |
|
401 |
400 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
33 |
$1K |
| 99051 |
|
55 |
54 |
$1K |
| 99188 |
|
57 |
56 |
$1K |
| 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) |
35 |
34 |
$603.05 |
| 96160 |
|
37 |
37 |
$143.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$27.64 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
21 |
21 |
$0.00 |
| 90688 |
|
53 |
52 |
$0.00 |
| 90658 |
|
12 |
12 |
$0.00 |