| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
620 |
540 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
610 |
544 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
216 |
202 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
172 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
153 |
146 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
912 |
463 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
39 |
$3K |
| 87428 |
|
50 |
47 |
$2K |
| 90461 |
|
237 |
190 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
30 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
185 |
71 |
$1K |
| 99188 |
|
13 |
13 |
$250.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
35 |
$214.19 |
| 99173 |
|
765 |
648 |
$38.89 |
| 90686 |
|
34 |
31 |
$20.00 |
| 96127 |
|
234 |
207 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
196 |
175 |
$0.00 |
| 96161 |
|
24 |
21 |
$0.00 |
| 92551 |
|
25 |
20 |
$0.00 |