| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,310 |
6,327 |
$303K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,797 |
3,406 |
$271K |
| 92552 |
|
1,037 |
1,032 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
313 |
312 |
$21K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
934 |
929 |
$20K |
| 97802 |
|
930 |
923 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
166 |
$12K |
| 99401 |
|
286 |
275 |
$4K |
| 85018 |
|
1,975 |
1,947 |
$4K |
| 81000 |
|
1,542 |
1,517 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
77 |
$4K |
| 90686 |
|
247 |
247 |
$3K |
| 99173 |
|
972 |
972 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
13 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
45 |
41 |
$1K |
| 90677 |
|
66 |
66 |
$927.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$909.92 |
| 86580 |
|
244 |
244 |
$840.19 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$612.63 |
| 96127 |
|
125 |
125 |
$548.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
70 |
$541.96 |
| 0072A |
|
13 |
13 |
$520.00 |
| 90656 |
|
15 |
15 |
$157.58 |
| 90651 |
|
16 |
16 |
$144.00 |
| 90670 |
|
15 |
15 |
$135.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
26 |
$112.50 |
| 90734 |
|
12 |
12 |
$108.00 |
| 90698 |
|
12 |
12 |
$108.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
17 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |