| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,573 |
6,528 |
$656K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,576 |
5,299 |
$318K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,684 |
2,285 |
$136K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,657 |
1,379 |
$123K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,474 |
1,245 |
$120K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,909 |
4,150 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
929 |
663 |
$69K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,850 |
1,568 |
$56K |
| 96127 |
|
2,929 |
2,367 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,176 |
1,711 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
338 |
232 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
774 |
722 |
$20K |
| 90619 |
|
182 |
104 |
$6K |
| 90651 |
|
108 |
82 |
$6K |
| 90686 |
|
543 |
426 |
$5K |
| 90670 |
|
240 |
189 |
$4K |
| 90734 |
|
166 |
123 |
$3K |
| 90715 |
|
161 |
80 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
13 |
$1K |
| 90698 |
|
31 |
25 |
$918.40 |
| 90680 |
|
31 |
25 |
$861.52 |
| 90656 |
|
21 |
20 |
$350.91 |
| 96160 |
|
20 |
20 |
$277.40 |
| 90620 |
|
14 |
14 |
$233.94 |
| 90633 |
|
30 |
25 |
$192.00 |
| 94760 |
|
222 |
192 |
$158.40 |
| 90716 |
|
14 |
12 |
$89.60 |
| 90688 |
|
13 |
13 |
$83.20 |
| 1003F |
|
1,267 |
1,083 |
$0.00 |
| 1033F |
|
553 |
491 |
$0.00 |
| 3085F |
|
262 |
236 |
$0.00 |
| 3351F |
|
237 |
214 |
$0.00 |
| 1036F |
|
332 |
296 |
$0.00 |
| 1220F |
|
267 |
241 |
$0.00 |
| 99000 |
|
431 |
365 |
$0.00 |
| 97802 |
|
150 |
138 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
52 |
45 |
$0.00 |