| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,333 |
5,957 |
$560K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,428 |
1,259 |
$80K |
| 99215 |
Prolong outpt/office vis |
685 |
571 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
876 |
766 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
570 |
532 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
311 |
290 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,622 |
3,110 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
26 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
742 |
624 |
$187.55 |
| 99177 |
|
43 |
41 |
$115.07 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
30 |
27 |
$42.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
95 |
$32.96 |
| 99404 |
|
162 |
156 |
$0.00 |