| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,696 |
3,056 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,480 |
2,079 |
$124K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,242 |
1,096 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
879 |
842 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
612 |
519 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,186 |
2,000 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
144 |
136 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
539 |
474 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$2K |
| 96160 |
|
125 |
116 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
37 |
35 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
118 |
112 |
$459.20 |
| 85018 |
|
127 |
121 |
$287.68 |
| 81002 |
|
65 |
60 |
$171.30 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
73 |
72 |
$0.00 |
| 97803 |
|
15 |
15 |
$0.00 |