| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,660 |
10,399 |
$590K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,790 |
4,446 |
$366K |
| 99490 |
Ccm add 20min |
3,891 |
3,891 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
85 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
81 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
162 |
154 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
92 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
88 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
90 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 99441 |
|
64 |
60 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
53 |
$873.48 |
| 80305 |
|
64 |
62 |
$717.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$537.62 |
| 90686 |
|
44 |
44 |
$509.13 |
| 96127 |
|
56 |
56 |
$223.32 |