| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
587 |
560 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
507 |
505 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
397 |
394 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
711 |
682 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
83 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
835 |
819 |
$601.96 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
16 |
$576.45 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$500.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
35 |
$425.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$349.72 |
| 92551 |
|
152 |
152 |
$344.30 |
| 90686 |
|
261 |
248 |
$253.00 |
| 99188 |
|
12 |
12 |
$242.80 |
| 99173 |
|
70 |
70 |
$139.90 |
| 96127 |
|
34 |
34 |
$27.28 |
| 96160 |
|
34 |
34 |
$13.02 |
| 85018 |
|
13 |
13 |
$4.07 |
| 90648 |
|
302 |
300 |
$0.00 |
| 90670 |
|
116 |
116 |
$0.00 |
| 90661 |
|
91 |
91 |
$0.00 |
| 90633 |
|
85 |
85 |
$0.00 |
| 99177 |
|
13 |
13 |
$0.00 |
| 96161 |
|
235 |
233 |
$0.00 |
| 90677 |
|
165 |
163 |
$0.00 |
| 90680 |
|
111 |
111 |
$0.00 |
| 90723 |
|
136 |
136 |
$0.00 |
| 90656 |
|
20 |
20 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |