| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,001 |
3,626 |
$308K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,804 |
3,444 |
$191K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,665 |
1,660 |
$159K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,265 |
1,264 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,357 |
1,345 |
$119K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
615 |
615 |
$59K |
| 99188 |
|
344 |
344 |
$7K |
| 92551 |
|
1,817 |
1,816 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
80 |
78 |
$3K |
| 90686 |
|
742 |
735 |
$3K |
| 99173 |
|
996 |
995 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
179 |
174 |
$3K |
| 90648 |
|
986 |
980 |
$2K |
| 90670 |
|
694 |
690 |
$2K |
| 87428 |
|
57 |
56 |
$2K |
| 90680 |
|
642 |
642 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
61 |
$1K |
| 90723 |
|
705 |
705 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,826 |
1,821 |
$1K |
| 99177 |
|
390 |
390 |
$443.88 |
| 96127 |
|
931 |
931 |
$346.94 |
| 96160 |
|
931 |
931 |
$301.89 |
| 80061 |
Lipid panel |
13 |
13 |
$48.00 |
| 85018 |
|
12 |
12 |
$3.37 |
| 96161 |
|
1,148 |
1,143 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
324 |
320 |
$0.00 |
| 90677 |
|
294 |
294 |
$0.00 |
| 90656 |
|
46 |
46 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 83655 |
|
178 |
178 |
$0.00 |
| G9920 |
Screening performed and negative |
957 |
957 |
$0.00 |
| 90633 |
|
185 |
185 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90661 |
|
78 |
78 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |