| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,191 |
2,084 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,484 |
2,351 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
106 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
196 |
190 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
91 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
36 |
36 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
395 |
387 |
$3K |
| 92551 |
|
537 |
537 |
$3K |
| 99173 |
|
524 |
524 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
87 |
$2K |
| 99072 |
|
147 |
138 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$1K |
| 99051 |
|
19 |
19 |
$500.49 |
| 99188 |
|
24 |
24 |
$496.80 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
18 |
16 |
$310.14 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
15 |
$183.60 |
| 96160 |
|
26 |
26 |
$109.13 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$36.03 |
| 90658 |
|
17 |
17 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$0.00 |
| 90688 |
|
26 |
26 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |