| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
934 |
810 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
970 |
725 |
$61K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
475 |
434 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
48 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$566.15 |
| 81003 |
|
149 |
76 |
$321.28 |
| 90686 |
|
17 |
16 |
$236.20 |
| 99173 |
|
12 |
12 |
$89.40 |