| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,343 |
1,166 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,374 |
1,228 |
$93K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
539 |
534 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
229 |
207 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
350 |
159 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
173 |
157 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 90461 |
|
51 |
50 |
$987.63 |
| 96127 |
|
15 |
15 |
$106.65 |
| 85018 |
|
15 |
15 |
$31.95 |
| 90686 |
|
149 |
149 |
$0.00 |