| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,184 |
2,597 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,041 |
825 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
920 |
792 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
831 |
754 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
243 |
218 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
92 |
84 |
$7K |
| 90670 |
|
560 |
515 |
$5K |
| 90648 |
|
629 |
574 |
$4K |
| 90686 |
|
607 |
506 |
$4K |
| 90723 |
|
390 |
358 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
84 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
89 |
62 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
145 |
111 |
$2K |
| 90680 |
|
278 |
255 |
$2K |
| 83655 |
|
92 |
66 |
$1K |
| 90633 |
|
136 |
113 |
$981.58 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
24 |
$719.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$338.57 |
| 81002 |
|
12 |
12 |
$31.20 |
| 3008F |
|
95 |
83 |
$0.00 |