| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,915 |
1,498 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,249 |
1,018 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
71 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
396 |
369 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
270 |
251 |
$4K |
| 96160 |
|
273 |
208 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
38 |
$4K |
| 90686 |
|
345 |
305 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
177 |
167 |
$2K |
| 90670 |
|
26 |
23 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
53 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20 |
16 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
16 |
$520.00 |
| 90698 |
|
14 |
13 |
$241.77 |
| 87807 |
|
14 |
13 |
$125.24 |