| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,826 |
1,613 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,441 |
2,193 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
707 |
581 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
603 |
528 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
614 |
563 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
434 |
368 |
$30K |
| 96127 |
|
895 |
805 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
628 |
544 |
$13K |
| 90686 |
|
659 |
584 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
215 |
189 |
$5K |
| 90670 |
|
212 |
174 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
175 |
171 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
44 |
41 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
43 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
84 |
$1K |
| 90651 |
|
82 |
76 |
$956.02 |
| 90723 |
|
79 |
66 |
$750.33 |
| 81003 |
|
319 |
286 |
$693.24 |
| 96160 |
|
47 |
30 |
$662.20 |
| 90647 |
|
75 |
67 |
$618.07 |
| 83655 |
|
51 |
46 |
$604.86 |
| 90734 |
|
57 |
51 |
$474.86 |
| 90633 |
|
44 |
26 |
$340.98 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$319.56 |
| 90680 |
|
30 |
29 |
$192.00 |
| 86580 |
|
47 |
44 |
$188.00 |
| 85018 |
|
76 |
73 |
$176.32 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
13 |
$124.04 |
| 90688 |
|
14 |
13 |
$107.44 |
| 90698 |
|
15 |
14 |
$96.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
14 |
$94.50 |
| 90715 |
|
13 |
12 |
$76.80 |
| 81001 |
|
20 |
19 |
$65.78 |