| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,348 |
3,759 |
$339K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,498 |
1,351 |
$162K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
561 |
433 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
232 |
139 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
109 |
106 |
$5K |
| 90686 |
|
189 |
171 |
$3K |
| 96127 |
|
688 |
644 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
45 |
40 |
$1K |
| 90658 |
|
26 |
25 |
$371.76 |
| 90630 |
|
13 |
12 |
$244.08 |
| 99406 |
|
15 |
12 |
$199.80 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$179.11 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
175 |
170 |
$0.00 |