| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,471 |
2,064 |
$196K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
952 |
778 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
797 |
729 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
430 |
392 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
509 |
488 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
203 |
194 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,964 |
1,780 |
$16K |
| 92551 |
|
1,411 |
1,326 |
$13K |
| 90648 |
|
375 |
345 |
$8K |
| 90670 |
|
364 |
342 |
$8K |
| 90686 |
|
331 |
309 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
146 |
128 |
$3K |
| 90680 |
|
143 |
136 |
$3K |
| 99173 |
|
1,293 |
1,204 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
74 |
68 |
$3K |
| 90723 |
|
102 |
99 |
$2K |
| 96127 |
|
489 |
446 |
$2K |
| 90633 |
|
67 |
64 |
$1K |
| 90733 |
|
20 |
14 |
$1K |
| 90697 |
|
28 |
27 |
$558.72 |
| 96160 |
|
184 |
176 |
$454.62 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$300.00 |
| 90710 |
|
13 |
13 |
$279.36 |
| 96161 |
|
84 |
73 |
$74.79 |
| 3008F |
|
12 |
12 |
$5.00 |
| 99000 |
|
86 |
60 |
$0.00 |