| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,403 |
4,345 |
$301K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
796 |
559 |
$59K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
239 |
162 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
201 |
122 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
152 |
97 |
$12K |
| 90651 |
|
282 |
190 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
297 |
199 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
126 |
95 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
156 |
95 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
36 |
$4K |
| 90688 |
|
298 |
185 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
233 |
151 |
$4K |
| 99173 |
|
323 |
215 |
$2K |
| 90686 |
|
158 |
118 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
22 |
13 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
22 |
12 |
$1K |
| 90734 |
|
83 |
58 |
$1K |
| 90670 |
|
38 |
27 |
$1K |
| 0004A |
|
42 |
31 |
$1K |
| 0002A |
|
30 |
29 |
$1K |
| 90715 |
|
40 |
26 |
$817.38 |
| 0001A |
|
22 |
12 |
$657.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
15 |
$536.90 |
| 87807 |
|
28 |
12 |
$302.80 |
| 81025 |
|
97 |
64 |
$296.67 |
| 81002 |
|
83 |
55 |
$225.29 |
| 1160F |
|
2,547 |
1,778 |
$0.74 |
| 3074F |
|
1,739 |
1,246 |
$0.52 |
| 1126F |
|
960 |
610 |
$0.00 |
| 3008F |
|
2,009 |
1,437 |
$0.00 |
| 1034F |
|
14 |
12 |
$0.00 |
| 1159F |
|
2,208 |
1,497 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
42 |
38 |
$0.00 |