| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,040 |
5,529 |
$510K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,630 |
7,012 |
$409K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,491 |
2,486 |
$239K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,315 |
2,315 |
$232K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,957 |
1,949 |
$190K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,755 |
1,734 |
$159K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,855 |
2,735 |
$43K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
755 |
743 |
$29K |
| 87428 |
|
619 |
608 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
471 |
465 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
147 |
146 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,133 |
570 |
$14K |
| 90686 |
|
1,393 |
1,383 |
$8K |
| 99188 |
|
397 |
397 |
$8K |
| 80061 |
Lipid panel |
850 |
849 |
$4K |
| 90648 |
|
1,277 |
1,273 |
$4K |
| 90670 |
|
938 |
933 |
$4K |
| 90723 |
|
956 |
952 |
$3K |
| 90680 |
|
795 |
792 |
$3K |
| 90633 |
|
555 |
555 |
$2K |
| 92551 |
|
3,688 |
3,684 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,362 |
2,358 |
$2K |
| 99177 |
|
1,450 |
1,449 |
$1K |
| 99051 |
|
44 |
42 |
$1K |
| 90734 |
|
108 |
104 |
$1K |
| 96127 |
|
2,508 |
2,505 |
$1K |
| 96160 |
|
2,512 |
2,509 |
$982.96 |
| 99173 |
|
1,379 |
1,378 |
$494.77 |
| 90620 |
|
175 |
169 |
$330.00 |
| 81002 |
|
80 |
73 |
$292.66 |
| 87807 |
|
16 |
16 |
$216.64 |
| 90651 |
|
249 |
249 |
$187.00 |
| 90700 |
|
15 |
15 |
$166.00 |
| 85018 |
|
331 |
329 |
$54.39 |
| 90619 |
|
278 |
278 |
$0.00 |
| 96161 |
|
1,343 |
1,337 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
790 |
775 |
$0.00 |
| 90656 |
|
41 |
41 |
$0.00 |
| 90677 |
|
333 |
333 |
$0.00 |
| 90696 |
|
40 |
40 |
$0.00 |
| 90716 |
|
52 |
52 |
$0.00 |
| 83655 |
|
454 |
454 |
$0.00 |
| G9920 |
Screening performed and negative |
1,479 |
1,477 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$0.00 |
| 90661 |
|
153 |
153 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 90710 |
|
40 |
40 |
$0.00 |
| 90707 |
|
39 |
39 |
$0.00 |