| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,624 |
1,589 |
$59K |
| 87428 |
|
343 |
337 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
342 |
330 |
$24K |
| 87631 |
|
161 |
161 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
154 |
151 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
158 |
145 |
$8K |
| 90686 |
|
279 |
274 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
72 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
280 |
276 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
13 |
$2K |
| 90670 |
|
144 |
144 |
$2K |
| 90648 |
|
108 |
108 |
$1K |
| 90723 |
|
58 |
57 |
$735.84 |
| 99188 |
|
12 |
12 |
$229.40 |
| 90633 |
|
13 |
13 |
$170.82 |
| 90681 |
|
13 |
13 |
$170.82 |
| 90707 |
|
12 |
12 |
$157.68 |
| 90716 |
|
12 |
12 |
$157.68 |
| 96127 |
|
42 |
41 |
$131.24 |
| 81002 |
|
12 |
12 |
$40.26 |