| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,178 |
2,634 |
$257K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
560 |
525 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
557 |
537 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
422 |
351 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
215 |
179 |
$20K |
| 92551 |
|
1,668 |
1,559 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
155 |
140 |
$15K |
| 90686 |
|
571 |
544 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
215 |
200 |
$11K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
237 |
215 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
467 |
419 |
$4K |
| 96127 |
|
703 |
633 |
$3K |
| 99173 |
|
1,216 |
1,150 |
$3K |
| 90688 |
|
139 |
114 |
$3K |
| 0072A |
|
64 |
61 |
$2K |
| 0071A |
|
44 |
42 |
$2K |
| 96160 |
|
658 |
599 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
72 |
$1K |
| 90651 |
|
35 |
30 |
$698.40 |
| 90734 |
|
27 |
27 |
$582.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
67 |
$420.48 |
| 90744 |
|
13 |
13 |
$293.08 |
| 99174 |
|
27 |
26 |
$158.55 |
| 87807 |
|
13 |
13 |
$1.00 |