| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,268 |
835 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
941 |
755 |
$79K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
640 |
489 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
124 |
113 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
12 |
$2K |
| 90688 |
|
57 |
53 |
$1K |
| 94664 |
|
26 |
26 |
$364.00 |
| 96160 |
|
121 |
112 |
$299.16 |
| 96161 |
|
125 |
117 |
$268.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
26 |
$230.36 |
| 87428 |
|
18 |
17 |
$92.82 |