| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,220 |
6,464 |
$263K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,886 |
1,874 |
$195K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,766 |
1,746 |
$166K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,176 |
1,165 |
$107K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,028 |
1,014 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,356 |
1,320 |
$77K |
| 90686 |
|
1,475 |
1,348 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
576 |
559 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
98 |
95 |
$4K |
| 92551 |
|
3,084 |
3,040 |
$3K |
| 96161 |
|
850 |
847 |
$3K |
| 90698 |
|
1,005 |
954 |
$2K |
| 90670 |
|
552 |
508 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
155 |
153 |
$2K |
| 99173 |
|
3,082 |
3,039 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
56 |
$2K |
| 90680 |
|
565 |
538 |
$946.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,077 |
1,072 |
$800.71 |
| 90716 |
|
360 |
337 |
$473.00 |
| 90633 |
|
362 |
341 |
$396.00 |
| 96127 |
|
1,008 |
991 |
$372.77 |
| 90707 |
|
342 |
325 |
$341.00 |
| 96160 |
|
1,315 |
1,293 |
$239.43 |
| 87807 |
|
14 |
14 |
$187.57 |
| 90744 |
|
228 |
218 |
$165.00 |
| 90734 |
|
23 |
15 |
$55.00 |
| 85018 |
|
36 |
36 |
$3.55 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
76 |
76 |
$0.00 |
| 90651 |
|
86 |
86 |
$0.00 |
| 90619 |
|
133 |
133 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90620 |
|
28 |
28 |
$0.00 |
| 90656 |
|
225 |
225 |
$0.00 |
| 90671 |
|
446 |
433 |
$0.00 |
| 83655 |
|
398 |
398 |
$0.00 |
| 80061 |
Lipid panel |
57 |
57 |
$0.00 |