| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,961 |
2,860 |
$238K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,693 |
2,588 |
$136K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,273 |
1,271 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
895 |
887 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
865 |
864 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
517 |
517 |
$49K |
| 99215 |
Prolong outpt/office vis |
160 |
152 |
$19K |
| 99051 |
|
353 |
350 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
266 |
264 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
532 |
519 |
$8K |
| 87428 |
|
209 |
209 |
$6K |
| 99188 |
|
144 |
144 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
215 |
109 |
$3K |
| 90686 |
|
692 |
690 |
$2K |
| 90648 |
|
601 |
599 |
$2K |
| 90670 |
|
436 |
434 |
$2K |
| 99173 |
|
1,288 |
1,288 |
$2K |
| 90723 |
|
362 |
360 |
$2K |
| 90680 |
|
294 |
292 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,148 |
1,146 |
$826.09 |
| 90633 |
|
133 |
133 |
$473.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$404.80 |
| 99177 |
|
550 |
549 |
$298.37 |
| 96127 |
|
815 |
815 |
$268.84 |
| 92551 |
|
1,468 |
1,468 |
$266.56 |
| 96160 |
|
814 |
814 |
$237.77 |
| 80061 |
Lipid panel |
86 |
86 |
$72.42 |
| 85018 |
|
249 |
249 |
$49.41 |
| G9920 |
Screening performed and negative |
546 |
546 |
$0.00 |
| 90661 |
|
37 |
37 |
$0.00 |
| 83655 |
|
141 |
141 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
276 |
274 |
$0.00 |
| 96161 |
|
611 |
608 |
$0.00 |
| 90677 |
|
143 |
143 |
$0.00 |
| 90651 |
|
40 |
40 |
$0.00 |
| 90656 |
|
58 |
58 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |