| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,381 |
1,333 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,277 |
1,241 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
531 |
529 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
349 |
345 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
149 |
147 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$4K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
26 |
$2K |
| 90686 |
|
340 |
315 |
$1K |
| 99460 |
|
27 |
26 |
$1K |
| 99173 |
|
479 |
477 |
$902.71 |
| 92551 |
|
742 |
741 |
$668.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
42 |
$659.47 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$538.02 |
| 87428 |
|
19 |
19 |
$461.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
402 |
399 |
$404.91 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$383.48 |
| 90648 |
|
58 |
52 |
$376.00 |
| 90670 |
|
58 |
52 |
$374.00 |
| 99177 |
|
159 |
158 |
$159.78 |
| 96127 |
|
73 |
73 |
$41.36 |
| 96160 |
|
46 |
46 |
$30.63 |
| G9920 |
Screening performed and negative |
285 |
283 |
$0.00 |
| 90661 |
|
52 |
52 |
$0.00 |
| 96161 |
|
40 |
39 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |