| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,222 |
2,134 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,588 |
1,550 |
$79K |
| 99051 |
|
2,359 |
2,298 |
$66K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
373 |
373 |
$14K |
| 87428 |
|
296 |
293 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
143 |
143 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
389 |
384 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
69 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
374 |
192 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
64 |
64 |
$5K |
| 90686 |
|
39 |
39 |
$418.00 |
| 92551 |
|
28 |
28 |
$26.00 |
| 96160 |
|
15 |
15 |
$0.00 |
| 99177 |
|
29 |
29 |
$0.00 |
| 96161 |
|
12 |
12 |
$0.00 |
| 96127 |
|
15 |
15 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$0.00 |