| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,939 |
2,845 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,815 |
1,793 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
428 |
427 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
417 |
417 |
$35K |
| 99215 |
Prolong outpt/office vis |
186 |
172 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
163 |
163 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
108 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
453 |
447 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
71 |
71 |
$3K |
| 90686 |
|
250 |
245 |
$1K |
| 87428 |
|
50 |
50 |
$1K |
| 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) |
52 |
51 |
$975.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
73 |
37 |
$894.15 |
| 99051 |
|
27 |
27 |
$749.20 |
| 0071A |
|
16 |
16 |
$704.00 |
| 0072A |
|
13 |
13 |
$484.00 |
| 92551 |
|
397 |
397 |
$365.76 |
| 96127 |
|
340 |
340 |
$279.84 |
| 96160 |
|
353 |
353 |
$248.86 |
| 99177 |
|
338 |
337 |
$243.51 |
| 99188 |
|
12 |
12 |
$237.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
54 |
$60.81 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
200 |
197 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 96161 |
|
33 |
33 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| G9920 |
Screening performed and negative |
382 |
381 |
$0.00 |
| 90661 |
|
52 |
52 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |