| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,295 |
3,920 |
$317K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,811 |
1,503 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,674 |
1,344 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,804 |
1,607 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,130 |
1,040 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
739 |
648 |
$58K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,833 |
1,607 |
$39K |
| 96127 |
|
1,515 |
1,335 |
$32K |
| 90670 |
|
1,258 |
989 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
433 |
417 |
$15K |
| 83655 |
|
1,157 |
950 |
$14K |
| 90686 |
|
1,199 |
1,070 |
$12K |
| 90647 |
|
946 |
730 |
$10K |
| 90723 |
|
865 |
684 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
288 |
262 |
$9K |
| 90633 |
|
691 |
540 |
$7K |
| 90680 |
|
669 |
527 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
407 |
382 |
$6K |
| 90651 |
|
239 |
179 |
$6K |
| 85018 |
|
1,570 |
1,304 |
$4K |
| 90677 |
|
70 |
61 |
$4K |
| 87428 |
|
37 |
29 |
$2K |
| 90734 |
|
187 |
153 |
$2K |
| 99381 |
|
26 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
153 |
147 |
$2K |
| 96160 |
|
113 |
89 |
$2K |
| 87807 |
|
77 |
68 |
$774.62 |
| 90698 |
|
92 |
67 |
$569.60 |
| 90700 |
|
76 |
61 |
$560.08 |
| 90715 |
|
34 |
12 |
$526.64 |
| 81003 |
|
147 |
140 |
$320.16 |
| 90620 |
|
45 |
44 |
$288.00 |
| 86580 |
|
67 |
65 |
$268.00 |
| 90710 |
|
16 |
12 |
$263.21 |
| 90744 |
|
34 |
29 |
$211.20 |
| 90648 |
|
17 |
17 |
$108.80 |
| 90716 |
|
12 |
12 |
$76.80 |
| 90707 |
|
12 |
12 |
$76.80 |
| 81002 |
|
13 |
12 |
$33.80 |