| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,646 |
6,044 |
$349K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,682 |
6,939 |
$196K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,796 |
1,448 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,610 |
1,308 |
$74K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
317 |
54 |
$47K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,280 |
1,757 |
$21K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
143 |
122 |
$17K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
134 |
123 |
$16K |
| 99215 |
Prolong outpt/office vis |
179 |
159 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
319 |
274 |
$12K |
| 90670 |
|
954 |
825 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,230 |
409 |
$8K |
| 90686 |
|
549 |
480 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
125 |
97 |
$5K |
| 90656 |
|
448 |
379 |
$4K |
| 90680 |
|
420 |
347 |
$4K |
| 90698 |
|
325 |
283 |
$3K |
| 0071A |
|
41 |
26 |
$3K |
| 0072A |
|
31 |
26 |
$3K |
| 90655 |
|
298 |
241 |
$2K |
| 95117 |
|
131 |
79 |
$2K |
| 90677 |
|
188 |
151 |
$2K |
| 87807 |
|
191 |
122 |
$1K |
| 90697 |
|
99 |
89 |
$1K |
| 87428 |
|
13 |
13 |
$955.37 |
| 90633 |
|
129 |
91 |
$887.82 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
13 |
$649.08 |
| 90744 |
|
62 |
60 |
$616.56 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
171 |
141 |
$422.03 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
59 |
46 |
$343.20 |
| 99188 |
|
50 |
27 |
$337.08 |
| 96127 |
|
109 |
83 |
$250.32 |
| 90648 |
|
30 |
24 |
$229.44 |
| 90723 |
|
24 |
20 |
$191.20 |
| 91307 |
|
57 |
40 |
$0.42 |
| 96161 |
|
138 |
119 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
65 |
50 |
$0.00 |