| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,900 |
2,511 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,516 |
1,330 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,040 |
807 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
897 |
756 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
314 |
290 |
$24K |
| 90686 |
|
639 |
567 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
62 |
$5K |
| 90670 |
|
478 |
436 |
$5K |
| 90648 |
|
509 |
448 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
81 |
75 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
128 |
62 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
136 |
117 |
$2K |
| 90723 |
|
223 |
194 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
37 |
31 |
$2K |
| 90677 |
|
53 |
48 |
$900.37 |
| 90633 |
|
86 |
68 |
$858.72 |
| 90656 |
|
34 |
34 |
$539.86 |
| 90680 |
|
71 |
63 |
$450.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$406.90 |