| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,158 |
1,963 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,361 |
2,061 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
526 |
509 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
503 |
475 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
368 |
325 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,419 |
1,330 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
164 |
152 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
559 |
510 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
237 |
231 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
68 |
64 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
98 |
$3K |
| 90734 |
|
28 |
25 |
$2K |
| 96127 |
|
35 |
29 |
$511.00 |
| 90707 |
|
12 |
12 |
$200.52 |
| 90700 |
|
12 |
12 |
$200.52 |
| 92558 |
|
13 |
13 |
$158.60 |
| 87807 |
|
13 |
13 |
$130.78 |
| 90670 |
|
13 |
13 |
$83.20 |