| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,682 |
3,139 |
$294K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,152 |
4,386 |
$264K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,750 |
1,473 |
$133K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,874 |
1,390 |
$128K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,867 |
2,441 |
$101K |
| 96127 |
|
6,148 |
4,794 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
910 |
810 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
771 |
712 |
$64K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,479 |
2,820 |
$64K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,501 |
1,381 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,303 |
1,117 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,639 |
972 |
$32K |
| 96160 |
|
1,676 |
1,388 |
$30K |
| 87428 |
|
390 |
326 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,486 |
1,246 |
$23K |
| 99173 |
|
1,366 |
1,201 |
$10K |
| 83655 |
|
695 |
561 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
528 |
451 |
$8K |
| Q3014 |
Telehealth originating site facility fee |
305 |
153 |
$7K |
| 90686 |
|
420 |
357 |
$7K |
| 90651 |
|
290 |
242 |
$5K |
| 0071A |
|
97 |
92 |
$4K |
| 90670 |
|
221 |
192 |
$4K |
| 85018 |
|
1,601 |
1,271 |
$4K |
| 0072A |
|
81 |
78 |
$3K |
| 90656 |
|
206 |
201 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
294 |
266 |
$3K |
| 90633 |
|
202 |
169 |
$3K |
| 36416 |
|
778 |
607 |
$3K |
| 90698 |
|
135 |
116 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
41 |
30 |
$2K |
| 90677 |
|
82 |
61 |
$2K |
| 90680 |
|
83 |
70 |
$1K |
| 90648 |
|
71 |
58 |
$1K |
| 90619 |
|
59 |
55 |
$994.18 |
| 99000 |
|
53 |
52 |
$896.52 |
| 90621 |
|
51 |
46 |
$852.21 |
| 90744 |
|
36 |
34 |
$601.10 |
| 91321 |
|
30 |
24 |
$501.30 |
| 90707 |
|
21 |
15 |
$338.46 |
| 90716 |
|
21 |
15 |
$338.46 |
| 90700 |
|
12 |
12 |
$200.52 |
| 3210F |
|
285 |
231 |
$0.00 |
| 4274F |
|
493 |
344 |
$0.00 |
| 1003F |
|
326 |
251 |
$0.00 |
| 99072 |
|
340 |
268 |
$0.00 |
| 3008F |
|
191 |
174 |
$0.00 |
| 96161 |
|
51 |
50 |
$0.00 |
| 1036F |
|
83 |
74 |
$0.00 |
| 1220F |
|
83 |
74 |
$0.00 |
| 3351F |
|
77 |
70 |
$0.00 |