| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,302 |
5,082 |
$413K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,079 |
3,005 |
$154K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
805 |
803 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
549 |
547 |
$50K |
| 99051 |
|
1,646 |
1,625 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
505 |
505 |
$42K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
595 |
586 |
$22K |
| 87428 |
|
638 |
627 |
$20K |
| 99215 |
Prolong outpt/office vis |
161 |
150 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
215 |
215 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,227 |
1,206 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
764 |
403 |
$10K |
| 90686 |
|
424 |
419 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
40 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
51 |
46 |
$965.00 |
| 92551 |
|
1,052 |
1,051 |
$858.04 |
| 96127 |
|
759 |
758 |
$471.21 |
| 96160 |
|
749 |
748 |
$367.52 |
| 90648 |
|
58 |
57 |
$319.00 |
| 90670 |
|
45 |
44 |
$319.00 |
| 90680 |
|
15 |
15 |
$180.00 |
| 90723 |
|
30 |
29 |
$165.00 |
| 99177 |
|
459 |
459 |
$63.00 |
| 80061 |
Lipid panel |
27 |
27 |
$24.21 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
271 |
267 |
$0.00 |
| 96161 |
|
66 |
66 |
$0.00 |
| 90651 |
|
66 |
66 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
189 |
189 |
$0.00 |
| 90656 |
|
54 |
54 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
398 |
397 |
$0.00 |
| 90661 |
|
50 |
50 |
$0.00 |
| 99173 |
|
107 |
107 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |