| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,817 |
5,725 |
$388K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
800 |
764 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
695 |
664 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
575 |
556 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
374 |
356 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
192 |
173 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
383 |
363 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
29 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
47 |
$2K |
| 90686 |
|
638 |
597 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
30 |
$1K |
| 99188 |
|
38 |
37 |
$552.60 |
| 96127 |
|
788 |
739 |
$321.42 |
| 96160 |
|
774 |
722 |
$254.35 |
| 92551 |
|
1,379 |
1,306 |
$122.87 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
540 |
453 |
$112.55 |
| 90648 |
|
440 |
433 |
$94.00 |
| 90670 |
|
263 |
261 |
$84.00 |
| 99177 |
|
252 |
245 |
$73.70 |
| G9920 |
Screening performed and negative |
784 |
724 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 90633 |
|
61 |
53 |
$0.00 |
| 83655 |
|
25 |
25 |
$0.00 |
| 99173 |
|
204 |
197 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90661 |
|
80 |
79 |
$0.00 |
| 90715 |
|
29 |
28 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
401 |
365 |
$0.00 |
| 96161 |
|
233 |
224 |
$0.00 |
| 90680 |
|
72 |
72 |
$0.00 |
| 90723 |
|
190 |
190 |
$0.00 |
| 90651 |
|
150 |
133 |
$0.00 |
| 90619 |
|
160 |
152 |
$0.00 |
| 90620 |
|
15 |
15 |
$0.00 |
| 90677 |
|
163 |
156 |
$0.00 |
| 90656 |
|
46 |
46 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |