| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,884 |
1,711 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
697 |
619 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
359 |
271 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
311 |
232 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
229 |
158 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
194 |
166 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
741 |
553 |
$13K |
| 96127 |
|
854 |
663 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
195 |
173 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
306 |
280 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
114 |
$3K |
| 90686 |
|
166 |
149 |
$2K |
| 90670 |
|
127 |
117 |
$992.17 |
| 90734 |
|
77 |
25 |
$939.17 |
| 90723 |
|
62 |
56 |
$770.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$693.07 |
| 90633 |
|
35 |
12 |
$544.10 |
| 83655 |
|
20 |
14 |
$229.87 |
| 90651 |
|
16 |
12 |
$90.74 |
| 85018 |
|
23 |
17 |
$52.48 |
| 99072 |
|
210 |
180 |
$50.00 |
| 85014 |
|
18 |
13 |
$41.76 |
| 90461 |
|
113 |
55 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
508 |
296 |
$0.00 |