| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,438 |
3,060 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,204 |
1,081 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
856 |
673 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
749 |
672 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
245 |
229 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
208 |
184 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
345 |
300 |
$11K |
| 90686 |
|
696 |
645 |
$8K |
| 90648 |
|
573 |
505 |
$7K |
| 90670 |
|
515 |
450 |
$5K |
| 90723 |
|
283 |
247 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
110 |
86 |
$2K |
| 90680 |
|
149 |
125 |
$2K |
| 90656 |
|
70 |
69 |
$1K |
| 90734 |
|
65 |
47 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
29 |
$876.40 |
| 90633 |
|
71 |
53 |
$771.81 |
| 90677 |
|
33 |
27 |
$589.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
34 |
$521.86 |
| 90651 |
|
52 |
40 |
$416.34 |
| 90710 |
|
18 |
12 |
$288.33 |
| 85018 |
|
103 |
89 |
$222.60 |
| 83655 |
|
13 |
13 |
$154.18 |