| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,307 |
3,994 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,131 |
1,128 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,391 |
1,390 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,378 |
2,035 |
$2K |
| 92081 |
|
3,506 |
3,489 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
372 |
367 |
$1K |
| 92551 |
|
3,189 |
3,149 |
$820.99 |
| 90651 |
|
405 |
404 |
$763.86 |
| 90658 |
|
1,366 |
1,363 |
$504.00 |
| 90734 |
|
376 |
375 |
$440.73 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
66 |
65 |
$332.59 |
| 90670 |
|
60 |
60 |
$318.00 |
| 90700 |
|
131 |
131 |
$299.04 |
| 90716 |
|
26 |
26 |
$209.31 |
| 90713 |
|
54 |
54 |
$153.40 |
| 90621 |
|
115 |
115 |
$142.54 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
218 |
212 |
$140.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
731 |
718 |
$133.81 |
| 90633 |
|
56 |
56 |
$71.47 |
| 90715 |
|
116 |
115 |
$54.00 |
| 90657 |
|
99 |
99 |
$36.00 |
| 90744 |
|
12 |
12 |
$30.30 |
| 90648 |
|
12 |
12 |
$9.00 |
| G9920 |
Screening performed and negative |
335 |
335 |
$0.00 |
| 96160 |
|
18 |
18 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 97802 |
|
267 |
245 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
65 |
65 |
$0.00 |