| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,778 |
2,477 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
945 |
827 |
$27K |
| 99215 |
Prolong outpt/office vis |
276 |
257 |
$14K |
| 98929 |
|
215 |
185 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
96 |
90 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
190 |
183 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$895.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
40 |
$380.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$223.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
13 |
$188.50 |
| 99000 |
|
12 |
12 |
$0.00 |