| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,455 |
1,418 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
906 |
892 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$3K |
| 99051 |
|
92 |
90 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
91 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$499.59 |
| 90686 |
|
27 |
27 |
$143.00 |
| 96127 |
|
54 |
54 |
$30.80 |
| 96160 |
|
54 |
54 |
$26.80 |
| 92551 |
|
51 |
51 |
$0.00 |
| G9920 |
Screening performed and negative |
27 |
27 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |