| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
978 |
825 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
618 |
563 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
336 |
254 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
286 |
222 |
$21K |
| 96160 |
|
969 |
813 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
111 |
103 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
47 |
$7K |
| 87428 |
|
103 |
83 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
355 |
307 |
$5K |
| 92587 |
|
268 |
223 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
97 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
181 |
146 |
$3K |
| 90656 |
|
121 |
96 |
$2K |
| 96127 |
|
157 |
123 |
$2K |
| 90686 |
|
136 |
125 |
$2K |
| 83655 |
|
118 |
91 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
38 |
36 |
$1K |
| 90648 |
|
56 |
51 |
$935.76 |
| 90677 |
|
43 |
39 |
$718.53 |
| 87807 |
|
40 |
39 |
$402.40 |
| 90734 |
|
19 |
15 |
$317.49 |
| 90723 |
|
13 |
12 |
$217.23 |
| 85018 |
|
85 |
72 |
$186.43 |
| 1220F |
|
40 |
29 |
$0.00 |