| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,138 |
6,951 |
$920K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,953 |
8,986 |
$819K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
750 |
510 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
676 |
460 |
$53K |
| 90686 |
|
2,493 |
1,937 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
573 |
425 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
568 |
389 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,417 |
2,680 |
$24K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
793 |
569 |
$23K |
| 96127 |
|
4,971 |
3,445 |
$17K |
| 99215 |
Prolong outpt/office vis |
90 |
79 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,225 |
547 |
$9K |
| 90648 |
|
385 |
286 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
364 |
302 |
$4K |
| 90670 |
|
269 |
167 |
$4K |
| 90661 |
|
195 |
141 |
$3K |
| 96160 |
|
1,568 |
1,133 |
$2K |
| 90723 |
|
134 |
80 |
$2K |
| 92552 |
|
59 |
55 |
$1K |
| 90677 |
|
40 |
36 |
$843.24 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$766.15 |
| 90633 |
|
62 |
28 |
$651.84 |
| 90619 |
|
33 |
26 |
$607.00 |
| 0071A |
|
14 |
14 |
$560.00 |
| 0072A |
|
15 |
14 |
$521.11 |
| 90680 |
|
14 |
14 |
$325.92 |
| 90734 |
|
13 |
13 |
$302.64 |
| 90651 |
|
13 |
13 |
$279.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
30 |
$178.08 |
| 87807 |
|
13 |
13 |
$153.01 |
| 96161 |
|
76 |
67 |
$141.27 |
| 99173 |
|
62 |
58 |
$130.15 |
| 83655 |
|
12 |
12 |
$118.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
881 |
431 |
$0.00 |
| 91307 |
|
44 |
30 |
$0.00 |
| 99000 |
|
95 |
83 |
$0.00 |
| 36416 |
|
26 |
25 |
$0.00 |