| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,271 |
2,031 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,307 |
2,009 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
792 |
782 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
715 |
712 |
$61K |
| 99051 |
|
436 |
410 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
503 |
490 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
146 |
$7K |
| 87428 |
|
196 |
196 |
$5K |
| 99188 |
|
97 |
97 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$736.74 |
| 92551 |
|
261 |
261 |
$647.22 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,082 |
1,065 |
$480.58 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
37 |
$468.90 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$431.84 |
| 90686 |
|
213 |
210 |
$165.00 |
| 80061 |
Lipid panel |
12 |
12 |
$116.40 |
| 99177 |
|
151 |
151 |
$85.86 |
| 96127 |
|
67 |
67 |
$53.68 |
| 85018 |
|
108 |
108 |
$41.84 |
| 96160 |
|
65 |
65 |
$26.80 |
| 96161 |
|
661 |
645 |
$0.00 |
| 90723 |
|
313 |
310 |
$0.00 |
| 90680 |
|
234 |
231 |
$0.00 |
| 90677 |
|
231 |
228 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90648 |
|
548 |
545 |
$0.00 |
| 90670 |
|
290 |
290 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 83655 |
|
126 |
126 |
$0.00 |
| 90661 |
|
78 |
78 |
$0.00 |
| 99173 |
|
20 |
20 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |