| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,077 |
3,281 |
$430K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
926 |
843 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
545 |
507 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
437 |
411 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
437 |
390 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,647 |
2,265 |
$25K |
| 90648 |
|
564 |
514 |
$11K |
| 90686 |
|
499 |
459 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
67 |
$8K |
| 90677 |
|
210 |
196 |
$8K |
| 90670 |
|
352 |
329 |
$8K |
| 90723 |
|
293 |
271 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
287 |
261 |
$4K |
| 90710 |
|
104 |
91 |
$2K |
| 83655 |
|
200 |
172 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 90656 |
|
90 |
81 |
$2K |
| 90681 |
|
75 |
68 |
$2K |
| 90633 |
|
63 |
54 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
37 |
$834.84 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$677.37 |
| 94760 |
|
529 |
432 |
$378.82 |
| 85018 |
|
70 |
54 |
$144.50 |
| 36416 |
|
239 |
199 |
$40.50 |
| 99000 |
|
95 |
83 |
$4.50 |