| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,583 |
1,120 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
132 |
92 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,088 |
770 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
88 |
82 |
$8K |
| 90686 |
|
214 |
194 |
$4K |
| 87428 |
|
183 |
121 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
268 |
164 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
87 |
46 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
75 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
12 |
$742.08 |
| 90670 |
|
31 |
28 |
$628.57 |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$623.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
51 |
$584.12 |
| 87807 |
|
75 |
46 |
$515.62 |
| 92551 |
|
43 |
41 |
$398.52 |
| 90648 |
|
15 |
13 |
$302.64 |
| 90723 |
|
14 |
12 |
$279.36 |
| 99173 |
|
42 |
40 |
$104.00 |
| 94760 |
|
37 |
28 |
$41.60 |