| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,794 |
1,718 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
698 |
684 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
78 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
61 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
275 |
266 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$3K |
| 87428 |
|
68 |
66 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 99051 |
|
43 |
43 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
45 |
$1K |
| 90686 |
|
229 |
228 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
30 |
$1K |
| 0072A |
|
20 |
20 |
$572.00 |
| 96127 |
|
90 |
90 |
$76.56 |
| 96160 |
|
91 |
91 |
$62.79 |
| 99177 |
|
144 |
142 |
$60.50 |
| 92551 |
|
135 |
134 |
$30.54 |
| G9920 |
Screening performed and negative |
90 |
90 |
$0.00 |
| 90661 |
|
41 |
41 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |