| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,590 |
1,560 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,180 |
2,122 |
$111K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
686 |
686 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
613 |
613 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
466 |
465 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
363 |
362 |
$33K |
| 99215 |
Prolong outpt/office vis |
53 |
52 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
130 |
130 |
$5K |
| 87428 |
|
120 |
120 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
284 |
276 |
$4K |
| 99173 |
|
1,041 |
1,041 |
$3K |
| 90686 |
|
490 |
489 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
54 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$581.90 |
| 92551 |
|
1,072 |
1,072 |
$396.30 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
478 |
478 |
$343.29 |
| 96127 |
|
617 |
617 |
$324.72 |
| 90648 |
|
139 |
139 |
$308.00 |
| 90670 |
|
132 |
132 |
$308.00 |
| 96160 |
|
617 |
617 |
$282.57 |
| 99177 |
|
210 |
210 |
$121.29 |
| 85018 |
|
15 |
15 |
$8.14 |
| G9920 |
Screening performed and negative |
332 |
332 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 90661 |
|
30 |
30 |
$0.00 |
| 96161 |
|
171 |
171 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
204 |
204 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90723 |
|
28 |
28 |
$0.00 |
| 90656 |
|
19 |
19 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |