| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,725 |
2,261 |
$131K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
556 |
448 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
243 |
195 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
60 |
$5K |
| 90686 |
|
267 |
218 |
$4K |
| 90647 |
|
247 |
190 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$4K |
| 90670 |
|
211 |
168 |
$4K |
| 90656 |
|
89 |
88 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
74 |
$1K |
| 90677 |
|
42 |
40 |
$1K |
| 90723 |
|
49 |
39 |
$832.77 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$678.34 |
| 99173 |
|
80 |
73 |
$577.31 |
| 90648 |
|
36 |
25 |
$538.71 |
| 90633 |
|
30 |
24 |
$523.93 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$485.08 |
| 90696 |
|
13 |
13 |
$208.07 |
| 90710 |
|
13 |
13 |
$208.07 |