| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,129 |
928 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
439 |
385 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
187 |
169 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
114 |
89 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
444 |
371 |
$8K |
| 96127 |
|
305 |
275 |
$4K |
| 90671 |
|
154 |
124 |
$3K |
| 90698 |
|
172 |
139 |
$3K |
| 87428 |
|
46 |
44 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
41 |
$1K |
| 96160 |
|
50 |
36 |
$639.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
45 |
$584.70 |
| 83655 |
|
41 |
31 |
$486.26 |
| 90656 |
|
24 |
24 |
$390.91 |
| 99173 |
|
45 |
39 |
$283.10 |
| 36416 |
|
69 |
49 |
$278.80 |
| 90686 |
|
15 |
13 |
$250.65 |
| 90680 |
|
16 |
12 |
$233.94 |
| 90633 |
|
14 |
12 |
$233.94 |
| 85018 |
|
60 |
43 |
$139.20 |
| 99174 |
|
12 |
12 |
$89.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
29 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |