| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,726 |
6,520 |
$282K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,272 |
3,181 |
$212K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,420 |
1,414 |
$168K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,107 |
1,106 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,013 |
1,010 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
534 |
533 |
$61K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
985 |
978 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
643 |
564 |
$16K |
| 92551 |
|
2,439 |
2,433 |
$13K |
| 99173 |
|
2,429 |
2,423 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,295 |
1,276 |
$12K |
| 99188 |
|
414 |
414 |
$10K |
| 96161 |
|
590 |
589 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
66 |
$2K |
| 87807 |
|
122 |
121 |
$2K |
| 90686 |
|
491 |
465 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
789 |
782 |
$1K |
| 90680 |
|
251 |
243 |
$832.00 |
| 90670 |
|
275 |
258 |
$819.00 |
| 90698 |
|
302 |
283 |
$793.00 |
| 90677 |
|
160 |
160 |
$650.00 |
| 96127 |
|
698 |
696 |
$401.90 |
| 90697 |
|
142 |
141 |
$364.00 |
| 90707 |
|
69 |
69 |
$234.00 |
| 90716 |
|
69 |
69 |
$208.00 |
| 90744 |
|
38 |
38 |
$156.00 |
| 90619 |
|
12 |
12 |
$156.00 |
| 94760 |
|
32 |
29 |
$82.50 |
| 96160 |
|
850 |
847 |
$10.52 |
| G9920 |
Screening performed and negative |
321 |
320 |
$0.00 |
| 90710 |
|
65 |
65 |
$0.00 |
| 90671 |
|
120 |
119 |
$0.00 |
| 90633 |
|
141 |
141 |
$0.00 |
| 83655 |
|
119 |
119 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
419 |
418 |
$0.00 |
| 3008F |
|
1,574 |
1,567 |
$0.00 |
| 90656 |
|
103 |
103 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |