| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,782 |
1,710 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,750 |
2,650 |
$120K |
| 99051 |
|
2,586 |
2,443 |
$72K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
795 |
766 |
$10K |
| 87428 |
|
220 |
219 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
74 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
28 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
152 |
73 |
$2K |
| 92551 |
|
86 |
85 |
$160.54 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
37 |
$61.56 |
| 96127 |
|
30 |
29 |
$36.96 |
| 96160 |
|
30 |
29 |
$32.16 |
| 99173 |
|
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
31 |
31 |
$0.00 |
| 90686 |
|
27 |
27 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$0.00 |