| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,119 |
955 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
569 |
439 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
349 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
220 |
140 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
610 |
501 |
$10K |
| 87428 |
|
150 |
123 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
105 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
66 |
$6K |
| 90648 |
|
181 |
152 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
41 |
38 |
$3K |
| 90677 |
|
144 |
113 |
$3K |
| 90670 |
|
99 |
95 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
28 |
25 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
66 |
$1K |
| 90656 |
|
47 |
47 |
$871.83 |
| 90723 |
|
50 |
41 |
$835.50 |
| 90686 |
|
49 |
45 |
$818.79 |
| 87634 |
|
14 |
13 |
$676.00 |
| 90633 |
|
29 |
26 |
$484.59 |
| 90680 |
|
29 |
28 |
$484.59 |
| 90698 |
|
24 |
24 |
$401.04 |
| 85018 |
|
119 |
111 |
$272.16 |
| 90651 |
|
14 |
12 |
$240.23 |
| 90734 |
|
13 |
13 |
$217.23 |
| 87807 |
|
14 |
14 |
$140.84 |