| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,520 |
2,228 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,512 |
3,113 |
$121K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
682 |
669 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
772 |
709 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
399 |
383 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
261 |
237 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
248 |
105 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
68 |
51 |
$2K |
| 99188 |
|
62 |
62 |
$1K |
| 92551 |
|
108 |
108 |
$843.54 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$716.40 |
| 99173 |
|
278 |
259 |
$474.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
50 |
$394.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
27 |
$273.00 |
| 96161 |
|
33 |
28 |
$175.19 |
| 96127 |
|
42 |
36 |
$52.30 |
| 99000 |
|
40 |
37 |
$0.00 |