| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
390 |
379 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
468 |
445 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
132 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
144 |
144 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
40 |
40 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
38 |
$837.30 |
| 87428 |
|
31 |
30 |
$667.24 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$530.20 |
| 99051 |
|
13 |
13 |
$357.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$240.61 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
366 |
363 |
$170.87 |
| 92551 |
|
51 |
51 |
$146.82 |
| 90686 |
|
122 |
108 |
$77.00 |
| 99177 |
|
12 |
12 |
$52.86 |
| 96161 |
|
26 |
26 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90677 |
|
16 |
13 |
$0.00 |
| 90648 |
|
54 |
51 |
$0.00 |
| 90670 |
|
38 |
38 |
$0.00 |
| 90661 |
|
23 |
23 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |