| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,264 |
1,242 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,547 |
1,499 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
447 |
446 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
339 |
339 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
234 |
234 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
157 |
$15K |
| 99215 |
Prolong outpt/office vis |
47 |
42 |
$5K |
| 87428 |
|
128 |
127 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
217 |
216 |
$3K |
| 90686 |
|
320 |
319 |
$1K |
| 99173 |
|
653 |
653 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
27 |
$663.02 |
| 99051 |
|
15 |
15 |
$465.24 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$461.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
388 |
388 |
$198.61 |
| 90648 |
|
80 |
79 |
$176.00 |
| 90670 |
|
68 |
67 |
$176.00 |
| 92551 |
|
783 |
783 |
$172.28 |
| 96127 |
|
324 |
324 |
$125.62 |
| 96160 |
|
324 |
324 |
$109.32 |
| 99177 |
|
143 |
143 |
$105.72 |
| 85018 |
|
13 |
13 |
$8.14 |
| 80061 |
Lipid panel |
16 |
16 |
$0.00 |
| G9920 |
Screening performed and negative |
232 |
232 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
120 |
119 |
$0.00 |
| 90723 |
|
27 |
26 |
$0.00 |
| 96161 |
|
125 |
125 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |