| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,354 |
1,238 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,049 |
1,884 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
350 |
345 |
$17K |
| 96151 |
|
703 |
694 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
172 |
141 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
126 |
126 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
113 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
129 |
129 |
$6K |
| 92551 |
|
320 |
318 |
$4K |
| 90686 |
|
239 |
239 |
$2K |
| 96150 |
|
92 |
90 |
$2K |
| 90670 |
|
222 |
218 |
$2K |
| 90698 |
|
221 |
217 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
113 |
111 |
$829.25 |
| 90658 |
|
90 |
90 |
$810.00 |
| 96156 |
|
258 |
258 |
$806.35 |
| 90633 |
|
81 |
77 |
$729.00 |
| 90649 |
|
60 |
60 |
$540.00 |
| 86403 |
|
45 |
44 |
$418.95 |
| 90744 |
|
44 |
42 |
$396.00 |
| 69210 |
|
13 |
13 |
$381.63 |
| G9920 |
Screening performed and negative |
225 |
225 |
$290.00 |
| 90680 |
|
24 |
24 |
$216.00 |
| 90716 |
|
15 |
12 |
$135.00 |
| 90707 |
|
15 |
12 |
$135.00 |
| 90685 |
|
14 |
14 |
$126.00 |
| 99050 |
|
14 |
14 |
$114.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$83.88 |
| S9451 |
Exercise classes, non-physician provider, per session |
108 |
108 |
$0.00 |
| 97802 |
|
109 |
109 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
63 |
$0.00 |
| 99173 |
|
41 |
41 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$0.00 |
| 90661 |
|
48 |
48 |
$0.00 |