| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,586 |
7,236 |
$597K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
666 |
589 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
567 |
496 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,207 |
1,013 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
420 |
387 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,291 |
1,139 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
375 |
298 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
434 |
405 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
948 |
869 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
122 |
$6K |
| 92552 |
|
249 |
238 |
$5K |
| 96127 |
|
454 |
426 |
$2K |
| 90670 |
|
170 |
104 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$1K |
| 99173 |
|
279 |
270 |
$968.00 |
| 87807 |
|
98 |
77 |
$737.00 |
| 90698 |
|
137 |
76 |
$724.22 |
| 90686 |
|
29 |
29 |
$435.38 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$344.90 |
| 90633 |
|
16 |
13 |
$257.27 |
| 81003 |
|
90 |
79 |
$234.44 |
| 90649 |
|
14 |
12 |
$138.53 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
13 |
$93.60 |
| 90680 |
|
33 |
12 |
$48.00 |
| 3074F |
|
953 |
862 |
$0.00 |
| 3075F |
|
57 |
56 |
$0.00 |
| 3078F |
|
1,008 |
903 |
$0.00 |
| 96160 |
|
97 |
94 |
$0.00 |