| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,383 |
1,331 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
349 |
346 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
234 |
231 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
275 |
272 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
118 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
107 |
107 |
$10K |
| 92552 |
|
652 |
647 |
$3K |
| 99188 |
|
98 |
98 |
$2K |
| 90686 |
|
389 |
350 |
$2K |
| 99173 |
|
408 |
405 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
39 |
$910.05 |
| 99177 |
|
213 |
211 |
$765.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
181 |
177 |
$492.41 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$468.48 |
| 96161 |
|
122 |
122 |
$463.97 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
23 |
$443.89 |
| 90670 |
|
103 |
88 |
$187.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$151.92 |
| 90651 |
|
13 |
13 |
$143.00 |
| 96127 |
|
208 |
206 |
$141.03 |
| 90723 |
|
48 |
36 |
$132.00 |
| 99174 |
|
46 |
46 |
$105.60 |
| 96160 |
|
185 |
183 |
$3.83 |
| 90647 |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
68 |
68 |
$0.00 |
| 90710 |
|
38 |
38 |
$0.00 |
| 83655 |
|
54 |
54 |
$0.00 |
| 80061 |
Lipid panel |
33 |
32 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |