| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,962 |
1,608 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,403 |
2,051 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,265 |
1,013 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
998 |
858 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
552 |
491 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
237 |
214 |
$20K |
| 90686 |
|
943 |
826 |
$7K |
| 90670 |
|
777 |
695 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
354 |
194 |
$6K |
| 90648 |
|
803 |
683 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
338 |
274 |
$5K |
| 90723 |
|
529 |
447 |
$4K |
| 83655 |
|
328 |
260 |
$4K |
| 90633 |
|
464 |
370 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
134 |
87 |
$3K |
| 90680 |
|
397 |
329 |
$3K |
| 90651 |
|
111 |
92 |
$2K |
| 90734 |
|
103 |
101 |
$1K |
| 87428 |
|
17 |
17 |
$1K |
| 85018 |
|
376 |
298 |
$870.93 |
| 0071A |
|
16 |
16 |
$640.00 |
| 90710 |
|
61 |
57 |
$594.76 |
| 90700 |
|
77 |
56 |
$578.15 |
| 90715 |
|
69 |
69 |
$573.13 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$529.95 |
| 90716 |
|
35 |
24 |
$224.00 |
| 90696 |
|
29 |
29 |
$186.12 |
| 90707 |
|
17 |
12 |
$108.80 |
| 88720 |
|
13 |
13 |
$52.80 |
| 81002 |
|
13 |
12 |
$34.05 |