| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,331 |
5,146 |
$250K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,945 |
4,667 |
$163K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
572 |
562 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
350 |
348 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
146 |
$12K |
| 99499 |
|
519 |
486 |
$7K |
| 90686 |
|
959 |
953 |
$6K |
| 90698 |
|
354 |
354 |
$3K |
| 90677 |
|
186 |
186 |
$2K |
| 90670 |
|
150 |
146 |
$1K |
| 90656 |
|
142 |
142 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
84 |
69 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90680 |
|
109 |
109 |
$984.00 |
| 96161 |
|
226 |
216 |
$739.73 |
| 90633 |
|
67 |
67 |
$674.00 |
| 90682 |
|
13 |
13 |
$602.03 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
99 |
98 |
$577.54 |
| 83655 |
|
53 |
52 |
$513.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
63 |
$509.26 |
| 90658 |
|
22 |
22 |
$226.00 |
| 85018 |
|
63 |
62 |
$206.40 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$170.34 |
| 90744 |
|
12 |
12 |
$126.00 |
| 3008F |
|
364 |
361 |
$0.00 |
| 1036F |
|
55 |
55 |
$0.00 |
| 3725F |
|
284 |
280 |
$0.00 |