| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,630 |
2,469 |
$208K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,097 |
1,995 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
701 |
700 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
521 |
521 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
332 |
330 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
156 |
156 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
318 |
316 |
$5K |
| 99051 |
|
131 |
128 |
$4K |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$3K |
| 87428 |
|
39 |
39 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
59 |
56 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
26 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
30 |
$826.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$581.90 |
| 90686 |
|
136 |
135 |
$532.12 |
| 99177 |
|
315 |
315 |
$460.09 |
| 90688 |
|
35 |
31 |
$297.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
172 |
172 |
$284.85 |
| 92551 |
|
409 |
409 |
$274.14 |
| 96127 |
|
272 |
272 |
$240.24 |
| 96160 |
|
271 |
271 |
$209.04 |
| 90633 |
|
38 |
38 |
$132.00 |
| 85018 |
|
13 |
13 |
$4.07 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
129 |
129 |
$0.00 |
| 90677 |
|
79 |
79 |
$0.00 |
| 96161 |
|
136 |
136 |
$0.00 |
| 90723 |
|
39 |
39 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |
| G9920 |
Screening performed and negative |
517 |
516 |
$0.00 |
| 99173 |
|
41 |
41 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |
| 90648 |
|
81 |
81 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| 90661 |
|
64 |
64 |
$0.00 |