| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,949 |
6,618 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,393 |
9,077 |
$22K |
| 99215 |
Prolong outpt/office vis |
296 |
289 |
$2K |
| 94010 |
|
1,026 |
1,018 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
810 |
761 |
$850.17 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,766 |
1,743 |
$631.95 |
| 93000 |
|
230 |
229 |
$397.74 |
| 94664 |
|
1,621 |
1,603 |
$321.18 |
| 90658 |
|
2,967 |
2,960 |
$288.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,297 |
2,257 |
$230.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
118 |
$212.75 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$209.58 |
| 94760 |
|
14,619 |
13,158 |
$189.26 |
| 92551 |
|
4,932 |
4,840 |
$155.28 |
| 90734 |
|
686 |
684 |
$144.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,481 |
1,442 |
$136.87 |
| 94150 |
|
278 |
277 |
$132.24 |
| 90670 |
|
282 |
279 |
$126.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,373 |
2,315 |
$119.80 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,121 |
1,101 |
$116.02 |
| 90649 |
|
944 |
942 |
$81.00 |
| 90620 |
|
1,155 |
1,151 |
$45.00 |
| 81002 |
|
4,916 |
4,812 |
$39.56 |
| 85018 |
|
5,950 |
5,846 |
$30.02 |
| 90648 |
|
191 |
190 |
$27.00 |
| 86580 |
|
205 |
158 |
$23.31 |
| 96127 |
|
275 |
275 |
$19.19 |
| 90715 |
|
322 |
322 |
$18.00 |
| 99173 |
|
4,768 |
4,674 |
$0.00 |
| 90633 |
|
158 |
158 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
178 |
178 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
185 |
184 |
$0.00 |
| 91300 |
|
331 |
303 |
$0.00 |
| 83655 |
|
88 |
88 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
603 |
562 |
$0.00 |
| 99188 |
|
129 |
129 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
40 |
40 |
$0.00 |
| 90710 |
|
42 |
42 |
$0.00 |
| 96111 |
|
34 |
34 |
$0.00 |
| 90657 |
|
274 |
274 |
$0.00 |
| 90680 |
|
47 |
46 |
$0.00 |
| 96112 |
|
119 |
119 |
$0.00 |
| 90723 |
|
78 |
77 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 91318 |
|
13 |
13 |
$0.00 |