| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,070 |
7,599 |
$444K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,387 |
5,557 |
$399K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,140 |
3,059 |
$169K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
895 |
793 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
718 |
624 |
$59K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,333 |
835 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,873 |
2,568 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
498 |
406 |
$38K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
378 |
356 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
750 |
592 |
$11K |
| 87400 |
|
935 |
837 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
92 |
79 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
265 |
217 |
$6K |
| 90670 |
|
59 |
41 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
48 |
$5K |
| 17110 |
|
68 |
67 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
233 |
$4K |
| 90658 |
|
255 |
169 |
$3K |
| 90734 |
|
95 |
77 |
$2K |
| 87420 |
|
67 |
61 |
$1K |
| 90620 |
|
36 |
27 |
$946.00 |
| 99423 |
|
28 |
27 |
$611.62 |
| 90715 |
|
33 |
26 |
$355.54 |
| 90672 |
|
15 |
14 |
$250.65 |
| 90744 |
|
13 |
13 |
$217.23 |
| 81002 |
|
20 |
14 |
$52.00 |
| 99072 |
|
25 |
25 |
$0.00 |