| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,420 |
2,235 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
700 |
645 |
$64K |
| 92587 |
|
681 |
680 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,519 |
2,466 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
160 |
160 |
$12K |
| 99401 |
|
1,812 |
1,791 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
134 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
59 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
39 |
39 |
$467.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
14 |
$439.50 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
39 |
39 |
$321.54 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18 |
18 |
$187.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$178.98 |
| 90686 |
|
419 |
418 |
$125.54 |
| 90461 |
|
202 |
199 |
$60.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,337 |
1,322 |
$19.92 |
| S9451 |
Exercise classes, non-physician provider, per session |
767 |
765 |
$17.54 |
| 97802 |
|
909 |
907 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
253 |
253 |
$0.00 |
| 3008F |
|
100 |
99 |
$0.00 |
| 90656 |
|
19 |
19 |
$0.00 |
| 99072 |
|
2,813 |
2,534 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
41 |
41 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
52 |
52 |
$0.00 |
| 99173 |
|
59 |
59 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |