| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,701 |
3,460 |
$272K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
557 |
554 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
455 |
455 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
379 |
379 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
170 |
169 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
256 |
252 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
499 |
485 |
$7K |
| 87428 |
|
223 |
219 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
136 |
130 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
353 |
172 |
$4K |
| 90686 |
|
272 |
253 |
$1K |
| 92551 |
|
833 |
833 |
$339.76 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
350 |
350 |
$317.97 |
| 96127 |
|
573 |
572 |
$240.24 |
| 96160 |
|
588 |
587 |
$203.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$190.00 |
| 99173 |
|
254 |
254 |
$161.82 |
| 99177 |
|
67 |
67 |
$68.43 |
| 90656 |
|
20 |
20 |
$0.00 |
| 96161 |
|
39 |
39 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
148 |
147 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| G9920 |
Screening performed and negative |
406 |
406 |
$0.00 |
| 90648 |
|
38 |
38 |
$0.00 |
| 90661 |
|
28 |
28 |
$0.00 |