| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,490 |
1,357 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
472 |
424 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
289 |
264 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
174 |
148 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
145 |
130 |
$11K |
| 99215 |
Prolong outpt/office vis |
119 |
103 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
97 |
$8K |
| 90686 |
|
371 |
325 |
$4K |
| 87428 |
|
31 |
31 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
46 |
39 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
97 |
$2K |
| 90656 |
|
83 |
81 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
13 |
$551.15 |
| 90670 |
|
30 |
26 |
$484.70 |
| 90651 |
|
29 |
25 |
$472.14 |
| 90648 |
|
28 |
26 |
$467.88 |
| 90715 |
|
12 |
12 |
$200.52 |