| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,581 |
1,518 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,995 |
1,906 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
532 |
528 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
406 |
401 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
277 |
273 |
$28K |
| 99051 |
|
746 |
726 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
126 |
126 |
$13K |
| 99174 |
|
1,611 |
1,596 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
139 |
137 |
$5K |
| 92551 |
|
1,237 |
1,229 |
$4K |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$2K |
| 83655 |
|
908 |
902 |
$2K |
| 90686 |
|
380 |
336 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
371 |
367 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
74 |
$709.99 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
34 |
33 |
$583.78 |
| 96127 |
|
663 |
653 |
$540.91 |
| 99072 |
|
115 |
112 |
$399.00 |
| 85018 |
|
46 |
46 |
$92.75 |
| 96161 |
|
24 |
24 |
$92.00 |
| 96160 |
|
627 |
622 |
$89.25 |
| 90670 |
|
29 |
25 |
$69.00 |
| 99173 |
|
13 |
13 |
$34.50 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 36416 |
|
15 |
15 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90671 |
|
14 |
14 |
$0.00 |
| 80061 |
Lipid panel |
111 |
111 |
$0.00 |