| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,516 |
5,840 |
$361K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,709 |
9,462 |
$319K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,607 |
744 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,128 |
1,052 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
194 |
168 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
55 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
51 |
$2K |
| 87430 |
|
170 |
163 |
$2K |
| 87400 |
|
306 |
147 |
$2K |
| 90686 |
|
102 |
79 |
$887.49 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
15 |
$796.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$376.75 |
| 87807 |
|
20 |
19 |
$247.19 |
| 90674 |
|
14 |
12 |
$223.51 |
| 1000F |
|
4,630 |
4,136 |
$0.00 |
| 1036F |
|
6,304 |
5,601 |
$0.00 |
| 3008F |
|
12,284 |
10,544 |
$0.00 |
| 1220F |
|
676 |
616 |
$0.00 |
| 96127 |
|
18 |
14 |
$0.00 |
| 3079F |
|
16 |
15 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| 3075F |
|
15 |
14 |
$0.00 |
| 1160F |
|
11,114 |
9,876 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
12 |
$0.00 |