| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,119 |
1,847 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,916 |
1,717 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,014 |
1,003 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
872 |
857 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
504 |
501 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
112 |
112 |
$8K |
| 90686 |
|
289 |
275 |
$3K |
| 99188 |
|
99 |
98 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
31 |
$2K |
| 90670 |
|
215 |
215 |
$2K |
| 90648 |
|
173 |
172 |
$2K |
| 90723 |
|
81 |
81 |
$934.00 |
| 92551 |
|
141 |
130 |
$771.16 |
| 90680 |
|
66 |
66 |
$771.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
12 |
$436.38 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
341 |
261 |
$355.93 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$312.61 |
| 90661 |
|
31 |
31 |
$166.00 |
| 90633 |
|
39 |
39 |
$156.00 |
| 90677 |
|
12 |
12 |
$138.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$130.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$120.96 |
| 96127 |
|
40 |
40 |
$66.98 |
| 96160 |
|
40 |
40 |
$60.06 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
13 |
$0.00 |
| 96161 |
|
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
153 |
142 |
$0.00 |