| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
333 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
212 |
212 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
316 |
178 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
72 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35 |
35 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
12 |
12 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$855.28 |
| 99050 |
|
12 |
12 |
$207.96 |
| 99173 |
|
70 |
70 |
$171.24 |
| 92551 |
|
26 |
26 |
$161.48 |
| 90686 |
|
27 |
27 |
$0.24 |