| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,691 |
2,611 |
$210K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,570 |
2,508 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
953 |
952 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
728 |
724 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
724 |
724 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
491 |
490 |
$46K |
| 99215 |
Prolong outpt/office vis |
121 |
116 |
$14K |
| 99051 |
|
361 |
359 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
587 |
581 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
165 |
164 |
$6K |
| 87428 |
|
174 |
174 |
$5K |
| 99173 |
|
1,091 |
1,090 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
143 |
71 |
$2K |
| 90686 |
|
579 |
577 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
15 |
$632.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
855 |
855 |
$597.08 |
| 92551 |
|
1,199 |
1,199 |
$576.06 |
| 99177 |
|
375 |
375 |
$570.60 |
| 90648 |
|
394 |
393 |
$566.00 |
| 90670 |
|
239 |
238 |
$550.00 |
| 99188 |
|
26 |
26 |
$514.80 |
| 96127 |
|
689 |
689 |
$345.84 |
| 96160 |
|
689 |
689 |
$300.95 |
| 90680 |
|
136 |
136 |
$156.00 |
| 90633 |
|
86 |
86 |
$143.00 |
| 90723 |
|
172 |
172 |
$143.00 |
| 85018 |
|
128 |
128 |
$34.79 |
| G9920 |
Screening performed and negative |
531 |
531 |
$0.00 |
| 90661 |
|
84 |
83 |
$0.00 |
| 83655 |
|
66 |
66 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
291 |
291 |
$0.00 |
| 96161 |
|
398 |
395 |
$0.00 |
| 90677 |
|
146 |
146 |
$0.00 |
| 90656 |
|
95 |
95 |
$0.00 |
| 90619 |
|
24 |
24 |
$0.00 |