| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
714 |
665 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,102 |
1,025 |
$47K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
292 |
255 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
269 |
239 |
$9K |
| 87428 |
|
98 |
95 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
344 |
313 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
183 |
154 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
35 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
105 |
99 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
33 |
30 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
54 |
47 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
34 |
$980.99 |
| 90686 |
|
50 |
40 |
$768.90 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$756.57 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
12 |
$750.39 |
| 87807 |
|
26 |
24 |
$261.56 |