| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,020 |
3,642 |
$210K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
882 |
877 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,154 |
2,007 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
662 |
660 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
222 |
221 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
106 |
106 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
205 |
201 |
$7K |
| 92551 |
|
1,488 |
1,485 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
816 |
785 |
$6K |
| 99173 |
|
1,494 |
1,490 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
558 |
547 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
53 |
$1K |
| 90686 |
|
360 |
326 |
$1K |
| 90698 |
|
76 |
67 |
$275.00 |
| 99401 |
|
13 |
12 |
$269.17 |
| 96127 |
|
223 |
222 |
$154.40 |
| 96161 |
|
40 |
39 |
$153.20 |
| 90670 |
|
35 |
25 |
$143.00 |
| 90680 |
|
13 |
12 |
$0.00 |
| 90656 |
|
37 |
37 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 96160 |
|
223 |
222 |
$0.00 |