| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,751 |
2,901 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,733 |
1,459 |
$158K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
592 |
551 |
$23K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
817 |
696 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,742 |
1,543 |
$16K |
| 87428 |
|
320 |
307 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,003 |
479 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
119 |
114 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
138 |
127 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
229 |
208 |
$6K |
| 90461 |
|
97 |
94 |
$4K |
| 87807 |
|
302 |
279 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
27 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 81003 |
|
386 |
337 |
$742.90 |
| 90686 |
|
37 |
34 |
$481.25 |
| 90688 |
|
15 |
14 |
$214.08 |