| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
992 |
830 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
457 |
416 |
$57K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
153 |
141 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
600 |
560 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
40 |
$4K |
| 90686 |
|
98 |
95 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
80 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
99 |
40 |
$963.04 |
| 96160 |
|
231 |
220 |
$581.84 |
| 90670 |
|
14 |
12 |
$256.08 |
| 99173 |
|
70 |
66 |
$169.00 |
| 96127 |
|
12 |
12 |
$42.39 |