| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,472 |
1,436 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
987 |
968 |
$48K |
| 99051 |
|
1,095 |
1,081 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
200 |
200 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
497 |
495 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
414 |
207 |
$5K |
| 87428 |
|
145 |
145 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
20 |
$2K |
| 99188 |
|
13 |
13 |
$264.48 |
| 96127 |
|
60 |
60 |
$61.88 |
| 96160 |
|
56 |
56 |
$41.35 |
| 92551 |
|
56 |
56 |
$29.20 |
| G9920 |
Screening performed and negative |
42 |
42 |
$0.00 |
| 99177 |
|
16 |
16 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |