| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,444 |
1,333 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
643 |
570 |
$47K |
| 96127 |
|
895 |
746 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
173 |
143 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
129 |
91 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
91 |
81 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
19 |
$2K |
| 90686 |
|
125 |
97 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
61 |
$959.27 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
30 |
$868.12 |
| 90656 |
|
32 |
30 |
$548.09 |
| 90670 |
|
42 |
25 |
$447.44 |