| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,128 |
1,068 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,376 |
1,319 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
181 |
180 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
140 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
124 |
122 |
$13K |
| 99051 |
|
452 |
444 |
$11K |
| 99174 |
|
940 |
933 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
80 |
80 |
$3K |
| 92551 |
|
743 |
735 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 83655 |
|
341 |
339 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$807.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
69 |
$579.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
100 |
$457.31 |
| 96127 |
|
379 |
372 |
$409.91 |
| 99072 |
|
33 |
33 |
$108.50 |
| 96160 |
|
302 |
299 |
$0.00 |
| 80061 |
Lipid panel |
26 |
26 |
$0.00 |
| 90656 |
|
47 |
47 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |