| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,143 |
1,090 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
495 |
474 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
167 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
169 |
168 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
115 |
$12K |
| 99051 |
|
316 |
312 |
$8K |
| 99174 |
|
814 |
804 |
$4K |
| 92551 |
|
646 |
638 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
25 |
$924.14 |
| 83655 |
|
379 |
378 |
$921.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
87 |
$696.09 |
| 96127 |
|
251 |
246 |
$192.87 |
| 90686 |
|
56 |
56 |
$184.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
56 |
55 |
$120.60 |
| 99072 |
|
14 |
14 |
$49.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 96160 |
|
268 |
266 |
$0.00 |
| 80061 |
Lipid panel |
39 |
39 |
$0.00 |