| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,049 |
1,739 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
345 |
266 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
438 |
397 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
178 |
149 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
203 |
$11K |
| S8301 |
Infection control supplies, not otherwise specified |
416 |
340 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
308 |
273 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
240 |
216 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
123 |
$3K |
| 87428 |
|
17 |
13 |
$881.88 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
12 |
$875.28 |
| 96160 |
|
514 |
388 |
$794.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
51 |
$407.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
21 |
15 |
$47.60 |