| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,744 |
2,653 |
$213K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,304 |
2,239 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
586 |
585 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
366 |
362 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
299 |
$26K |
| 99215 |
Prolong outpt/office vis |
139 |
129 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
105 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
373 |
369 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
113 |
113 |
$4K |
| 99051 |
|
139 |
137 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
193 |
96 |
$2K |
| 87428 |
|
44 |
44 |
$2K |
| 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) |
34 |
30 |
$656.20 |
| 99177 |
|
355 |
354 |
$385.59 |
| 90686 |
|
218 |
214 |
$374.00 |
| 92551 |
|
344 |
343 |
$266.82 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
111 |
111 |
$221.62 |
| 96127 |
|
258 |
258 |
$131.34 |
| 96160 |
|
258 |
258 |
$111.03 |
| 85018 |
|
12 |
12 |
$3.63 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
157 |
156 |
$0.00 |
| 90723 |
|
39 |
39 |
$0.00 |
| 96161 |
|
71 |
70 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 90677 |
|
16 |
16 |
$0.00 |
| 90648 |
|
63 |
63 |
$0.00 |
| G9920 |
Screening performed and negative |
426 |
425 |
$0.00 |
| 90661 |
|
45 |
45 |
$0.00 |
| 90670 |
|
36 |
36 |
$0.00 |