| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,593 |
1,330 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
959 |
790 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
62 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
165 |
126 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
53 |
$6K |
| 90686 |
|
241 |
223 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
131 |
104 |
$2K |
| 85018 |
|
1,117 |
1,053 |
$2K |
| 90688 |
|
101 |
99 |
$2K |
| 0071A |
|
34 |
34 |
$1K |
| 0072A |
|
31 |
31 |
$1K |
| 96127 |
|
203 |
197 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
64 |
$849.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
32 |
$750.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
37 |
$528.86 |
| 96160 |
|
134 |
131 |
$357.56 |
| 92552 |
|
15 |
14 |
$330.20 |
| 90734 |
|
14 |
12 |
$279.36 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
45 |
30 |
$164.22 |
| 88738 |
|
33 |
32 |
$134.86 |
| 99177 |
|
13 |
13 |
$72.59 |
| 94760 |
|
58 |
47 |
$72.10 |
| 36416 |
|
588 |
533 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
28 |
$0.00 |
| 99000 |
|
36 |
28 |
$0.00 |