| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,143 |
1,845 |
$186K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,156 |
1,843 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
775 |
757 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
606 |
589 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
312 |
302 |
$29K |
| 99051 |
|
422 |
362 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
192 |
186 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
67 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
643 |
609 |
$7K |
| 99188 |
|
336 |
327 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
312 |
209 |
$6K |
| 90648 |
|
173 |
157 |
$1K |
| 90670 |
|
70 |
69 |
$648.00 |
| 90686 |
|
110 |
109 |
$346.00 |
| 99499 |
|
16 |
14 |
$310.00 |
| 90677 |
|
92 |
77 |
$286.00 |
| 96127 |
|
248 |
200 |
$263.75 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,013 |
815 |
$230.80 |
| 87807 |
|
12 |
12 |
$189.72 |
| 92551 |
|
419 |
377 |
$96.10 |
| 99177 |
|
237 |
232 |
$48.20 |
| 85018 |
|
82 |
81 |
$43.13 |
| 96160 |
|
175 |
133 |
$16.45 |
| 96161 |
|
286 |
269 |
$0.00 |
| 90661 |
|
38 |
38 |
$0.00 |
| 99173 |
|
31 |
25 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |