| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,766 |
3,975 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,962 |
2,771 |
$244K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,661 |
1,258 |
$103K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,110 |
734 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
888 |
611 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
615 |
505 |
$44K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
449 |
388 |
$11K |
| 90686 |
|
1,071 |
752 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,020 |
717 |
$6K |
| 90677 |
|
72 |
65 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
70 |
$5K |
| 90670 |
|
530 |
337 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
735 |
331 |
$4K |
| 96127 |
|
1,809 |
858 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
275 |
193 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
462 |
324 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
707 |
235 |
$2K |
| 90647 |
|
258 |
154 |
$2K |
| 90723 |
|
218 |
131 |
$2K |
| 90674 |
|
149 |
100 |
$2K |
| 90656 |
|
69 |
68 |
$2K |
| 90633 |
|
80 |
63 |
$1K |
| 92551 |
|
86 |
69 |
$700.79 |
| 96161 |
|
326 |
198 |
$435.32 |
| 99173 |
|
66 |
54 |
$145.08 |
| 90661 |
|
30 |
30 |
$69.84 |
| 87807 |
|
46 |
42 |
$36.41 |
| 36416 |
|
205 |
155 |
$13.50 |
| 90734 |
|
23 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73 |
47 |
$0.00 |
| 0071A |
|
18 |
15 |
$0.00 |
| 91300 |
|
44 |
40 |
$0.00 |
| 0072A |
|
20 |
18 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
91 |
33 |
$0.00 |