| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
243 |
232 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
134 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
62 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$376.24 |
| 92551 |
|
89 |
86 |
$247.72 |
| 83655 |
|
49 |
47 |
$72.40 |
| 99174 |
|
46 |
43 |
$52.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$28.00 |
| 85013 |
|
15 |
15 |
$18.28 |
| 99173 |
|
13 |
13 |
$16.26 |
| 85018 |
|
16 |
16 |
$14.05 |