| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,083 |
1,693 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
990 |
836 |
$77K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
615 |
558 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
54 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
127 |
101 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
39 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
73 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
130 |
101 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 90686 |
|
190 |
152 |
$2K |
| 96127 |
|
75 |
45 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$192.62 |
| 90698 |
|
12 |
12 |
$76.80 |