| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,184 |
2,585 |
$149K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,408 |
1,163 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,454 |
1,131 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
779 |
557 |
$57K |
| 90698 |
|
918 |
744 |
$10K |
| 90670 |
|
940 |
738 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
123 |
96 |
$9K |
| 90686 |
|
818 |
665 |
$8K |
| 87428 |
|
100 |
90 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
326 |
257 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
123 |
118 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
139 |
87 |
$4K |
| 90677 |
|
132 |
122 |
$3K |
| 90680 |
|
229 |
170 |
$2K |
| 90744 |
|
85 |
73 |
$814.97 |
| 90633 |
|
60 |
52 |
$615.68 |
| 90656 |
|
22 |
22 |
$389.92 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$157.75 |
| 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) |
13 |
13 |
$43.75 |
| 85018 |
|
18 |
15 |
$43.08 |