| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,882 |
1,648 |
$135K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,672 |
1,444 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
515 |
408 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
424 |
338 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
287 |
262 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
251 |
226 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
769 |
675 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
187 |
89 |
$3K |
| 90686 |
|
390 |
332 |
$3K |
| 90648 |
|
207 |
166 |
$2K |
| 87428 |
|
27 |
26 |
$2K |
| 90670 |
|
151 |
130 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
27 |
26 |
$1K |
| 90734 |
|
80 |
64 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
31 |
$1K |
| 90677 |
|
55 |
53 |
$939.53 |
| 90723 |
|
56 |
54 |
$759.04 |
| 83655 |
|
57 |
25 |
$682.42 |
| 85018 |
|
240 |
204 |
$556.89 |
| 90656 |
|
33 |
33 |
$549.99 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$431.03 |
| 90681 |
|
14 |
13 |
$200.52 |
| 87807 |
|
12 |
12 |
$120.72 |
| 90680 |
|
14 |
14 |
$90.51 |