| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,536 |
1,393 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,065 |
951 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
520 |
458 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
271 |
219 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
332 |
298 |
$7K |
| 90686 |
|
509 |
464 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
134 |
130 |
$5K |
| 96127 |
|
250 |
229 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
50 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
193 |
167 |
$3K |
| 90670 |
|
147 |
122 |
$3K |
| 90656 |
|
102 |
99 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$899.21 |
| 85018 |
|
335 |
288 |
$775.07 |
| 83655 |
|
60 |
41 |
$711.60 |
| 90647 |
|
38 |
36 |
$568.47 |
| 90723 |
|
30 |
28 |
$497.15 |
| 90680 |
|
28 |
27 |
$463.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$406.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$322.00 |
| 90633 |
|
16 |
12 |
$267.36 |
| 92587 |
|
12 |
12 |
$159.00 |
| 99173 |
|
19 |
14 |
$141.55 |