| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
549 |
529 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
231 |
231 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
184 |
184 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
310 |
300 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
12 |
$499.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
477 |
471 |
$317.22 |
| 92551 |
|
74 |
74 |
$61.08 |
| 96161 |
|
76 |
76 |
$0.00 |
| 90686 |
|
176 |
164 |
$0.00 |
| 90677 |
|
50 |
50 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |
| 90680 |
|
15 |
15 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |
| 90648 |
|
119 |
119 |
$0.00 |
| 90670 |
|
55 |
55 |
$0.00 |
| 99173 |
|
30 |
30 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |