| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
805 |
694 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
308 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
284 |
252 |
$19K |
| 87428 |
|
258 |
223 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
90 |
74 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
345 |
322 |
$6K |
| 90677 |
|
93 |
87 |
$5K |
| 96127 |
|
149 |
123 |
$3K |
| 90686 |
|
85 |
76 |
$1K |
| 90647 |
|
61 |
56 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
51 |
$942.00 |
| 90723 |
|
53 |
51 |
$886.80 |
| 87807 |
|
89 |
81 |
$885.98 |
| 90680 |
|
40 |
39 |
$669.57 |
| 90656 |
|
37 |
33 |
$618.27 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$459.29 |
| 90670 |
|
17 |
16 |
$284.07 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$282.78 |
| 83655 |
|
23 |
17 |
$272.78 |
| 85018 |
|
40 |
30 |
$92.80 |