| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,723 |
4,396 |
$149K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,476 |
1,400 |
$77K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,361 |
1,246 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
691 |
637 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
311 |
290 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
350 |
326 |
$7K |
| 90686 |
|
457 |
426 |
$6K |
| 90670 |
|
483 |
473 |
$6K |
| 90723 |
|
353 |
349 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
94 |
89 |
$4K |
| 90647 |
|
186 |
184 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
49 |
$2K |
| 92551 |
|
319 |
295 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
125 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
158 |
142 |
$1K |
| 96127 |
|
629 |
529 |
$1K |
| 90671 |
|
72 |
69 |
$893.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
621 |
549 |
$756.80 |
| 99381 |
|
14 |
13 |
$732.12 |
| 90633 |
|
49 |
48 |
$617.58 |
| 90681 |
|
43 |
42 |
$486.18 |
| 94760 |
|
36 |
34 |
$471.90 |
| 87807 |
|
39 |
36 |
$416.32 |
| 90381 |
|
12 |
12 |
$157.68 |
| 90697 |
|
12 |
12 |
$144.54 |
| 96161 |
|
245 |
236 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
208 |
196 |
$0.00 |
| 99177 |
|
66 |
62 |
$0.00 |