| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,547 |
11,219 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,080 |
6,286 |
$796K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,802 |
1,724 |
$191K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,860 |
1,731 |
$183K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,357 |
1,317 |
$141K |
| 90686 |
|
4,591 |
3,920 |
$100K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,738 |
1,687 |
$76K |
| 90670 |
|
505 |
493 |
$11K |
| 90698 |
|
417 |
412 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
736 |
573 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
437 |
166 |
$3K |
| 90680 |
|
135 |
132 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
50 |
$3K |
| 90697 |
|
72 |
70 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
152 |
120 |
$2K |
| 99177 |
|
270 |
268 |
$1K |
| 90633 |
|
43 |
41 |
$954.48 |
| 96161 |
|
320 |
312 |
$871.80 |
| 96160 |
|
325 |
291 |
$861.56 |
| 99051 |
|
342 |
282 |
$510.00 |
| 87081 |
|
75 |
54 |
$348.26 |
| 96127 |
|
67 |
56 |
$282.60 |
| 83655 |
|
24 |
24 |
$228.58 |
| 85018 |
|
75 |
75 |
$133.32 |
| 36416 |
|
854 |
758 |
$70.00 |