| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,794 |
1,722 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,036 |
1,014 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
317 |
316 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
312 |
312 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
272 |
272 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
133 |
132 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
368 |
362 |
$5K |
| 99051 |
|
90 |
89 |
$3K |
| 99173 |
|
770 |
770 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
71 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
41 |
$2K |
| 87428 |
|
49 |
48 |
$1K |
| 92551 |
|
520 |
520 |
$446.30 |
| 96127 |
|
482 |
482 |
$316.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
242 |
242 |
$300.28 |
| 96160 |
|
486 |
486 |
$286.72 |
| 90686 |
|
239 |
227 |
$270.00 |
| 99177 |
|
64 |
64 |
$79.29 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
213 |
212 |
$0.00 |
| 90677 |
|
90 |
89 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90680 |
|
65 |
65 |
$0.00 |
| 96161 |
|
98 |
98 |
$0.00 |
| 90723 |
|
74 |
74 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| G9920 |
Screening performed and negative |
403 |
403 |
$0.00 |
| 83655 |
|
26 |
26 |
$0.00 |
| 90648 |
|
89 |
88 |
$0.00 |
| 90661 |
|
37 |
37 |
$0.00 |