| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,165 |
2,428 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,337 |
3,813 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,270 |
2,026 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,931 |
1,459 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,129 |
1,290 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
840 |
497 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,913 |
4,649 |
$31K |
| 90461 |
|
3,598 |
2,184 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
231 |
226 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
231 |
124 |
$3K |
| 99188 |
|
1,125 |
784 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
83 |
$2K |
| 90686 |
|
1,036 |
1,000 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
16 |
$848.95 |
| 92551 |
|
3,526 |
3,283 |
$555.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
44 |
$356.40 |
| 90651 |
|
842 |
547 |
$242.00 |
| 90670 |
|
628 |
454 |
$103.32 |
| 90715 |
|
76 |
75 |
$90.00 |
| 90633 |
|
117 |
114 |
$72.00 |
| 90707 |
|
151 |
148 |
$40.00 |
| 90700 |
|
149 |
145 |
$29.00 |
| 90734 |
|
273 |
190 |
$9.00 |
| 90648 |
|
527 |
399 |
$9.00 |
| 96161 |
|
14 |
14 |
$7.50 |
| 99173 |
|
7,522 |
4,407 |
$6.62 |
| 96127 |
|
384 |
361 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
394 |
361 |
$0.00 |
| 90620 |
|
30 |
30 |
$0.00 |
| 90716 |
|
176 |
172 |
$0.00 |
| 90723 |
|
299 |
209 |
$0.00 |
| 90671 |
|
15 |
15 |
$0.00 |
| 90713 |
|
44 |
44 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |