| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,393 |
4,217 |
$427K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,047 |
920 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,021 |
945 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
922 |
871 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
712 |
667 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
545 |
476 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,799 |
2,298 |
$23K |
| 90688 |
|
1,221 |
1,055 |
$23K |
| 92551 |
|
2,389 |
2,206 |
$22K |
| 90670 |
|
508 |
447 |
$11K |
| 90648 |
|
497 |
434 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
51 |
$8K |
| 99173 |
|
2,386 |
2,209 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
352 |
164 |
$4K |
| 90685 |
|
237 |
195 |
$4K |
| 96127 |
|
779 |
720 |
$3K |
| 90723 |
|
144 |
138 |
$3K |
| 90680 |
|
129 |
120 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
258 |
217 |
$2K |
| 90649 |
|
211 |
197 |
$2K |
| 90633 |
|
85 |
73 |
$2K |
| 90707 |
|
65 |
56 |
$1K |
| 90716 |
|
64 |
56 |
$1K |
| 0071A |
|
13 |
12 |
$488.00 |
| 90621 |
|
25 |
24 |
$409.74 |
| 90734 |
|
25 |
24 |
$409.74 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
18 |
$250.84 |
| 96161 |
|
78 |
67 |
$203.22 |
| 96101 |
|
19 |
16 |
$0.00 |
| 91307 |
|
20 |
14 |
$0.00 |