| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,963 |
3,432 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,402 |
1,295 |
$141K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
759 |
724 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
768 |
767 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
745 |
690 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,752 |
1,735 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
508 |
508 |
$46K |
| 0240U |
|
301 |
270 |
$40K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
796 |
754 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
114 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
79 |
78 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
190 |
190 |
$3K |
| 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) |
90 |
82 |
$2K |
| 83655 |
|
62 |
62 |
$1K |
| 92551 |
|
181 |
180 |
$1K |
| 99051 |
|
104 |
100 |
$753.68 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
33 |
33 |
$521.82 |
| 99173 |
|
227 |
227 |
$478.08 |
| 0072A |
|
12 |
12 |
$458.22 |
| 85018 |
|
108 |
108 |
$270.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$237.43 |
| 99177 |
|
28 |
28 |
$86.91 |