| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,002 |
916 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
868 |
793 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
345 |
342 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
193 |
192 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
711 |
658 |
$11K |
| 96127 |
|
722 |
667 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
177 |
166 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
105 |
82 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
360 |
323 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
163 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
90 |
$3K |
| 90619 |
|
92 |
91 |
$2K |
| 90686 |
|
64 |
64 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$984.24 |
| 90620 |
|
26 |
26 |
$434.46 |
| 90670 |
|
16 |
16 |
$267.36 |
| 90715 |
|
12 |
12 |
$200.52 |
| 90633 |
|
12 |
12 |
$200.52 |
| 1003F |
|
875 |
860 |
$0.00 |
| 1033F |
|
520 |
514 |
$0.00 |
| 1220F |
|
316 |
312 |
$0.00 |