| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,034 |
5,122 |
$277K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,531 |
1,322 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,364 |
1,115 |
$105K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
513 |
465 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
455 |
424 |
$34K |
| 90648 |
|
1,199 |
1,027 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
414 |
339 |
$13K |
| 90723 |
|
884 |
760 |
$12K |
| 90686 |
|
988 |
903 |
$11K |
| 90670 |
|
867 |
736 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
112 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
402 |
345 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
510 |
430 |
$8K |
| 90680 |
|
508 |
445 |
$7K |
| 90633 |
|
355 |
308 |
$6K |
| 83655 |
|
377 |
283 |
$4K |
| 90677 |
|
254 |
227 |
$4K |
| 87428 |
|
54 |
52 |
$3K |
| 90656 |
|
135 |
134 |
$2K |
| 0071A |
|
38 |
29 |
$1K |
| 90681 |
|
69 |
57 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
31 |
$939.00 |
| 90734 |
|
61 |
55 |
$847.83 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
17 |
$778.60 |
| 90651 |
|
35 |
28 |
$399.57 |
| 90710 |
|
32 |
28 |
$378.49 |
| 87807 |
|
38 |
38 |
$372.22 |
| 90715 |
|
29 |
27 |
$353.91 |
| 90696 |
|
16 |
16 |
$267.36 |
| 99174 |
|
33 |
30 |
$245.85 |
| 85018 |
|
88 |
66 |
$204.16 |
| 81002 |
|
13 |
13 |
$34.00 |