| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,363 |
3,028 |
$406K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,046 |
2,645 |
$260K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,351 |
2,071 |
$103K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,546 |
1,733 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
413 |
399 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,207 |
1,950 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
278 |
262 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
297 |
284 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
136 |
$17K |
| 90686 |
|
492 |
452 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
139 |
$7K |
| 87807 |
|
481 |
427 |
$6K |
| 81000 |
|
1,154 |
1,069 |
$4K |
| 90670 |
|
160 |
158 |
$4K |
| 96127 |
|
366 |
322 |
$2K |
| 90698 |
|
40 |
40 |
$931.20 |
| 90651 |
|
52 |
38 |
$905.28 |
| 90734 |
|
54 |
36 |
$875.92 |
| 90715 |
|
31 |
17 |
$421.56 |
| 90633 |
|
16 |
16 |
$372.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
28 |
$267.54 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$255.42 |
| 96161 |
|
26 |
26 |
$78.05 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30 |
29 |
$0.00 |