| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,250 |
1,207 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,004 |
980 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
184 |
184 |
$15K |
| 99215 |
Prolong outpt/office vis |
30 |
28 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
46 |
$2K |
| 87428 |
|
50 |
50 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 0071A |
|
20 |
20 |
$836.00 |
| 0072A |
|
18 |
18 |
$792.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
61 |
$781.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
34 |
$694.78 |
| 90686 |
|
91 |
84 |
$374.00 |
| 99051 |
|
12 |
12 |
$340.00 |
| 99177 |
|
28 |
28 |
$26.43 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$21.56 |
| 92551 |
|
82 |
82 |
$17.50 |
| 96127 |
|
80 |
80 |
$10.56 |
| 96160 |
|
80 |
80 |
$9.19 |
| G9920 |
Screening performed and negative |
142 |
142 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |