| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,550 |
2,812 |
$279K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,596 |
2,563 |
$181K |
| 87428 |
|
629 |
551 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
460 |
271 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
605 |
428 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
274 |
189 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,239 |
962 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
196 |
125 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
362 |
167 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
49 |
$7K |
| 87807 |
|
449 |
326 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
84 |
67 |
$3K |
| 90686 |
|
190 |
141 |
$2K |
| 90670 |
|
199 |
126 |
$2K |
| 90648 |
|
154 |
99 |
$1K |
| 90723 |
|
101 |
67 |
$864.03 |
| 90633 |
|
96 |
57 |
$754.49 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
46 |
27 |
$729.80 |
| 96127 |
|
46 |
42 |
$685.73 |
| D1206 |
Topical application of fluoride varnish |
13 |
12 |
$371.28 |
| 36416 |
|
108 |
50 |
$357.25 |
| 85018 |
|
129 |
70 |
$307.42 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
16 |
16 |
$43.75 |