| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,445 |
3,307 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
701 |
696 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
447 |
446 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
261 |
254 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
729 |
713 |
$5K |
| 99177 |
|
891 |
883 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
67 |
$4K |
| 92551 |
|
912 |
904 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$901.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
54 |
53 |
$804.58 |
| 90698 |
|
56 |
56 |
$616.00 |
| 90670 |
|
110 |
110 |
$605.00 |
| 90688 |
|
137 |
95 |
$594.00 |
| 90686 |
|
130 |
130 |
$528.00 |
| 99188 |
|
25 |
25 |
$456.00 |
| 96161 |
|
31 |
31 |
$120.85 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
71 |
68 |
$85.39 |
| 96127 |
|
28 |
28 |
$28.80 |
| 83655 |
|
12 |
12 |
$12.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,078 |
1,071 |
$0.29 |
| 99080 |
|
228 |
227 |
$0.22 |
| 99499 |
|
291 |
290 |
$0.05 |
| 96160 |
|
28 |
28 |
$0.00 |
| 3008F |
|
2,597 |
2,499 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
16 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
24 |
24 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |