| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,421 |
4,857 |
$629K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,745 |
1,559 |
$140K |
| 99215 |
Prolong outpt/office vis |
367 |
345 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
364 |
356 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
153 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
103 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
75 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
573 |
549 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
633 |
608 |
$938.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
713 |
686 |
$806.81 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
274 |
269 |
$149.11 |
| 96127 |
|
3,998 |
2,648 |
$127.11 |
| 85018 |
|
377 |
366 |
$85.20 |
| 99173 |
|
1,262 |
1,234 |
$0.00 |
| 81003 |
|
67 |
61 |
$0.00 |
| 92551 |
|
1,256 |
1,226 |
$0.00 |
| 99000 |
|
368 |
345 |
$0.00 |