| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,068 |
1,980 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,281 |
1,228 |
$74K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
257 |
255 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
111 |
111 |
$9K |
| 99050 |
|
62 |
61 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
53 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
64 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
323 |
318 |
$3K |
| 99072 |
|
171 |
166 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
49 |
$2K |
| 99173 |
|
258 |
256 |
$1K |
| 92551 |
|
263 |
261 |
$874.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
29 |
$787.04 |
| 99051 |
|
18 |
17 |
$425.00 |
| 90688 |
|
34 |
34 |
$121.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$38.45 |
| 91307 |
|
16 |
13 |
$0.11 |
| 91308 |
|
15 |
12 |
$0.00 |