| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,036 |
891 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
291 |
232 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
200 |
172 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
496 |
402 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
83 |
66 |
$5K |
| 90670 |
|
155 |
118 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
34 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
37 |
$1K |
| 96160 |
|
123 |
105 |
$1K |
| 90698 |
|
71 |
54 |
$1K |
| 99173 |
|
142 |
135 |
$969.89 |
| 90686 |
|
71 |
62 |
$803.17 |
| 90633 |
|
37 |
30 |
$396.95 |
| 90744 |
|
34 |
26 |
$269.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
12 |
$217.31 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
14 |
14 |
$179.27 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$20.50 |