| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,120 |
2,017 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,904 |
1,805 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
716 |
696 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
605 |
584 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
258 |
251 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
106 |
101 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
299 |
150 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
36 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
238 |
234 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,288 |
1,069 |
$535.68 |
| 99051 |
|
12 |
12 |
$392.18 |
| 90686 |
|
356 |
343 |
$314.00 |
| 96127 |
|
98 |
82 |
$128.92 |
| 96160 |
|
91 |
77 |
$28.53 |
| 92551 |
|
145 |
144 |
$27.37 |
| 90633 |
|
174 |
161 |
$0.00 |
| 90661 |
|
156 |
156 |
$0.00 |
| 90648 |
|
575 |
548 |
$0.00 |
| 90670 |
|
212 |
212 |
$0.00 |
| 90707 |
|
17 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90723 |
|
440 |
423 |
$0.00 |
| 90677 |
|
364 |
339 |
$0.00 |
| 90680 |
|
398 |
383 |
$0.00 |
| 90619 |
|
39 |
38 |
$0.00 |
| 96161 |
|
133 |
119 |
$0.00 |
| 90716 |
|
17 |
13 |
$0.00 |
| 90651 |
|
102 |
99 |
$0.00 |
| 90656 |
|
56 |
55 |
$0.00 |