| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,227 |
1,188 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
362 |
361 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
279 |
277 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
256 |
256 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
420 |
404 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
141 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
232 |
231 |
$10K |
| 99188 |
|
274 |
274 |
$6K |
| 99173 |
|
580 |
579 |
$3K |
| 90698 |
|
306 |
238 |
$3K |
| 90670 |
|
296 |
231 |
$3K |
| 90686 |
|
336 |
234 |
$3K |
| 90680 |
|
193 |
141 |
$2K |
| 92551 |
|
586 |
584 |
$1K |
| 90744 |
|
100 |
79 |
$884.00 |
| 90633 |
|
81 |
65 |
$741.00 |
| 96161 |
|
152 |
151 |
$661.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
59 |
$649.70 |
| 90716 |
|
73 |
55 |
$624.00 |
| 90707 |
|
70 |
54 |
$624.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
17 |
$501.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$416.39 |
| 90651 |
|
16 |
16 |
$208.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
202 |
202 |
$57.21 |
| 96127 |
|
169 |
169 |
$20.11 |
| 96160 |
|
208 |
208 |
$4.53 |
| 83655 |
|
66 |
66 |
$0.00 |
| G9920 |
Screening performed and negative |
160 |
160 |
$0.00 |
| 90734 |
|
26 |
13 |
$0.00 |