| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,758 |
4,102 |
$219K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,212 |
1,006 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
763 |
658 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
657 |
588 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
641 |
608 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
191 |
177 |
$16K |
| 90686 |
|
1,231 |
1,091 |
$11K |
| 90670 |
|
780 |
680 |
$6K |
| 90648 |
|
779 |
662 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
129 |
121 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
153 |
108 |
$3K |
| 90734 |
|
208 |
188 |
$2K |
| 90710 |
|
193 |
173 |
$2K |
| 90723 |
|
336 |
280 |
$2K |
| 85018 |
|
871 |
751 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
92 |
$2K |
| 90680 |
|
225 |
179 |
$1K |
| 90656 |
|
72 |
70 |
$1K |
| 90633 |
|
129 |
111 |
$809.26 |
| 90715 |
|
73 |
66 |
$797.42 |
| 90651 |
|
57 |
54 |
$671.96 |
| 81002 |
|
221 |
205 |
$575.25 |
| 90696 |
|
39 |
29 |
$478.43 |
| 90677 |
|
19 |
12 |
$361.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$282.15 |
| 81003 |
|
54 |
49 |
$117.72 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |