| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,769 |
1,646 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,049 |
928 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
358 |
319 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
259 |
221 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
87 |
$7K |
| 99215 |
Prolong outpt/office vis |
88 |
87 |
$6K |
| 90677 |
|
76 |
66 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
116 |
$3K |
| 96127 |
|
217 |
186 |
$3K |
| 90686 |
|
150 |
133 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
99 |
95 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
24 |
$959.22 |
| 90656 |
|
45 |
45 |
$752.79 |
| 90670 |
|
52 |
49 |
$592.87 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
24 |
$578.83 |
| 90723 |
|
27 |
25 |
$317.78 |
| 90680 |
|
13 |
12 |
$217.23 |
| 83655 |
|
16 |
16 |
$189.76 |
| 85018 |
|
14 |
14 |
$32.48 |