| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,457 |
5,738 |
$285K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,384 |
2,116 |
$169K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,437 |
1,196 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,485 |
1,302 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
750 |
639 |
$53K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
923 |
833 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,785 |
2,400 |
$44K |
| 96127 |
|
2,950 |
2,500 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
404 |
328 |
$30K |
| 87428 |
|
495 |
473 |
$29K |
| D1206 |
Topical application of fluoride varnish |
615 |
503 |
$16K |
| 99460 |
|
279 |
264 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
341 |
315 |
$12K |
| 90686 |
|
1,236 |
1,073 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
322 |
298 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
663 |
620 |
$10K |
| 90670 |
|
895 |
734 |
$9K |
| 83655 |
|
437 |
368 |
$5K |
| 90648 |
|
636 |
549 |
$4K |
| 90680 |
|
450 |
367 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
289 |
262 |
$3K |
| 87807 |
|
340 |
294 |
$3K |
| 90723 |
|
412 |
365 |
$3K |
| 90633 |
|
289 |
231 |
$3K |
| 99000 |
|
80 |
53 |
$2K |
| 90651 |
|
86 |
53 |
$2K |
| 81002 |
|
677 |
556 |
$2K |
| 85018 |
|
660 |
553 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
57 |
$1K |
| 90697 |
|
95 |
62 |
$1K |
| 90710 |
|
122 |
104 |
$1K |
| 90656 |
|
56 |
55 |
$948.01 |
| 80061 |
Lipid panel |
136 |
106 |
$901.60 |
| 99215 |
Prolong outpt/office vis |
16 |
15 |
$760.87 |
| 87400 |
|
45 |
28 |
$728.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
53 |
48 |
$722.40 |
| 90619 |
|
33 |
15 |
$484.81 |
| 90734 |
|
50 |
36 |
$440.88 |
| 90696 |
|
26 |
25 |
$306.59 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
12 |
$153.00 |
| 36416 |
|
16 |
13 |
$65.60 |
| 99177 |
|
54 |
53 |
$0.00 |
| 99072 |
|
34 |
33 |
$0.00 |
| 99051 |
|
34 |
32 |
$0.00 |