| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,474 |
3,024 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,495 |
1,349 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,283 |
1,075 |
$98K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,680 |
1,469 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,136 |
972 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
510 |
443 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
518 |
480 |
$8K |
| 87428 |
|
122 |
112 |
$8K |
| 90670 |
|
594 |
534 |
$8K |
| 90686 |
|
633 |
579 |
$6K |
| 90677 |
|
113 |
89 |
$4K |
| 90723 |
|
341 |
299 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
230 |
$4K |
| 90647 |
|
332 |
280 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
213 |
184 |
$3K |
| 90680 |
|
283 |
246 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
28 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
55 |
48 |
$3K |
| 90661 |
|
89 |
87 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
20 |
18 |
$1K |
| 36416 |
|
328 |
286 |
$1K |
| 83655 |
|
75 |
57 |
$889.50 |
| 90633 |
|
76 |
54 |
$838.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
22 |
$589.95 |
| 87807 |
|
39 |
32 |
$388.32 |
| 90697 |
|
14 |
14 |
$233.94 |
| 90685 |
|
32 |
32 |
$208.00 |
| 96127 |
|
13 |
13 |
$189.80 |
| 94760 |
|
192 |
156 |
$150.92 |
| 90700 |
|
13 |
13 |
$86.40 |
| 91307 |
|
18 |
13 |
$2.56 |