| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,776 |
2,949 |
$184K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,715 |
1,282 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,548 |
1,210 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
901 |
697 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
661 |
447 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
255 |
161 |
$21K |
| 90698 |
|
1,124 |
861 |
$14K |
| 90686 |
|
1,188 |
922 |
$13K |
| 87428 |
|
188 |
180 |
$13K |
| 90670 |
|
857 |
670 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
176 |
166 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
362 |
307 |
$6K |
| 90677 |
|
187 |
169 |
$4K |
| 90680 |
|
262 |
207 |
$2K |
| 90744 |
|
148 |
131 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
111 |
103 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
41 |
$2K |
| 90656 |
|
81 |
81 |
$1K |
| 99381 |
|
17 |
12 |
$1K |
| 90633 |
|
98 |
76 |
$971.38 |
| 0072A |
|
12 |
12 |
$599.62 |
| 90681 |
|
32 |
28 |
$543.62 |
| 36416 |
|
128 |
70 |
$458.85 |
| 90619 |
|
18 |
12 |
$309.50 |
| 80061 |
Lipid panel |
40 |
28 |
$230.70 |
| 83655 |
|
17 |
12 |
$207.53 |
| 90734 |
|
18 |
13 |
$144.63 |
| 82947 |
|
40 |
28 |
$140.25 |
| 85018 |
|
39 |
28 |
$91.85 |