| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,313 |
16,758 |
$1.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,848 |
7,376 |
$449K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,675 |
2,518 |
$208K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,253 |
2,238 |
$190K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,307 |
1,157 |
$148K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
491 |
489 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
802 |
761 |
$22K |
| 99215 |
Prolong outpt/office vis |
117 |
106 |
$13K |
| 99381 |
|
79 |
77 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
138 |
$5K |
| 99177 |
|
1,286 |
1,277 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
44 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
383 |
373 |
$2K |
| 92558 |
|
985 |
978 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$829.62 |
| 96161 |
|
942 |
839 |
$719.19 |
| 3074F |
|
5,517 |
5,272 |
$410.00 |
| 3079F |
|
1,641 |
1,606 |
$25.00 |
| 3077F |
|
164 |
159 |
$25.00 |
| 3080F |
|
237 |
231 |
$0.00 |
| 3075F |
|
169 |
165 |
$0.00 |
| 3078F |
|
4,245 |
4,087 |
$0.00 |