| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,928 |
7,448 |
$733K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,180 |
1,120 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
696 |
647 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
407 |
358 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
292 |
291 |
$32K |
| 90686 |
|
1,091 |
1,029 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,390 |
1,340 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
963 |
754 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
77 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
220 |
193 |
$9K |
| 90698 |
|
365 |
356 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
135 |
102 |
$7K |
| 90670 |
|
290 |
283 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
101 |
$3K |
| 90656 |
|
91 |
88 |
$2K |
| 99177 |
|
327 |
313 |
$2K |
| 90744 |
|
28 |
27 |
$623.45 |
| 90633 |
|
29 |
25 |
$595.26 |
| 90677 |
|
13 |
13 |
$583.50 |
| 83655 |
|
53 |
42 |
$404.72 |
| 90681 |
|
12 |
12 |
$279.36 |
| 96161 |
|
46 |
46 |
$126.77 |
| 96127 |
|
24 |
24 |
$107.38 |
| 85018 |
|
50 |
39 |
$71.85 |
| 99000 |
|
157 |
144 |
$17.50 |
| 36416 |
|
92 |
70 |
$0.00 |