| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,952 |
1,775 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,258 |
2,957 |
$92K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,821 |
1,640 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,475 |
841 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
180 |
147 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
60 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
65 |
62 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
44 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
73 |
68 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
47 |
$3K |
| 87276 |
|
279 |
201 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
44 |
$2K |
| 87275 |
|
283 |
202 |
$2K |
| 87807 |
|
188 |
162 |
$2K |
| 90670 |
|
47 |
43 |
$538.74 |
| 96127 |
|
107 |
106 |
$358.41 |
| 90734 |
|
15 |
14 |
$177.18 |
| 90715 |
|
14 |
13 |
$164.04 |
| 81003 |
|
13 |
12 |
$3.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20 |
18 |
$0.00 |