| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,169 |
4,607 |
$465K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
782 |
716 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
648 |
591 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
957 |
853 |
$52K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,377 |
1,130 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,193 |
964 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,841 |
1,554 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
367 |
333 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
207 |
$18K |
| 96127 |
|
1,048 |
949 |
$15K |
| 99173 |
|
688 |
627 |
$5K |
| 92551 |
|
300 |
264 |
$5K |
| 90734 |
|
51 |
47 |
$651.55 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
25 |
$434.16 |
| 99407 |
|
23 |
13 |
$365.47 |
| 90671 |
|
14 |
12 |
$233.94 |
| 90619 |
|
14 |
13 |
$233.94 |
| 90715 |
|
12 |
12 |
$200.52 |
| 90648 |
|
12 |
12 |
$76.80 |
| 1003F |
|
1,591 |
1,439 |
$0.00 |
| 3210F |
|
339 |
312 |
$0.00 |
| 3725F |
|
586 |
528 |
$0.00 |
| 4120F |
|
29 |
27 |
$0.00 |
| 4004F |
|
20 |
12 |
$0.00 |
| 1036F |
|
752 |
685 |
$0.00 |
| 4045F |
|
54 |
47 |
$0.00 |
| 97802 |
|
25 |
23 |
$0.00 |