| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,958 |
1,686 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,253 |
1,013 |
$97K |
| 96160 |
|
2,069 |
1,687 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
534 |
399 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
461 |
336 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
336 |
231 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
305 |
289 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
635 |
535 |
$10K |
| 96127 |
|
665 |
519 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
414 |
392 |
$9K |
| 92587 |
|
581 |
432 |
$8K |
| 87428 |
|
53 |
39 |
$3K |
| 90686 |
|
210 |
164 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$2K |
| 87807 |
|
170 |
147 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
25 |
$594.96 |
| 99000 |
|
12 |
12 |
$180.00 |
| 90672 |
|
26 |
18 |
$160.00 |
| 85018 |
|
32 |
28 |
$71.02 |
| 1220F |
|
431 |
292 |
$0.00 |