| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,306 |
2,107 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
767 |
699 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
390 |
336 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
233 |
203 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
255 |
224 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
193 |
177 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
186 |
173 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
68 |
63 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
216 |
189 |
$3K |
| 90648 |
|
167 |
158 |
$3K |
| 99383 |
|
25 |
25 |
$2K |
| 90677 |
|
119 |
108 |
$2K |
| 90651 |
|
85 |
68 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
37 |
36 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
81 |
78 |
$2K |
| 90723 |
|
109 |
103 |
$2K |
| 90686 |
|
104 |
101 |
$2K |
| 90734 |
|
93 |
88 |
$2K |
| 90656 |
|
91 |
89 |
$2K |
| 90710 |
|
71 |
56 |
$1K |
| 87428 |
|
17 |
14 |
$1K |
| 90670 |
|
59 |
58 |
$985.89 |
| 90696 |
|
58 |
54 |
$969.18 |
| 83655 |
|
81 |
68 |
$949.46 |
| 90715 |
|
40 |
39 |
$668.40 |
| 90633 |
|
17 |
16 |
$284.07 |
| 85018 |
|
97 |
84 |
$225.04 |
| 94760 |
|
16 |
12 |
$4.40 |
| 1003F |
|
38 |
27 |
$0.00 |