| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,946 |
3,384 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,655 |
1,536 |
$107K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,719 |
1,460 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,017 |
1,414 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,103 |
1,499 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
123 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,061 |
565 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
282 |
260 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
71 |
$4K |
| 99401 |
|
242 |
235 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
34 |
$2K |
| 90658 |
|
158 |
157 |
$804.75 |
| 90656 |
|
100 |
76 |
$768.90 |
| 90700 |
|
55 |
42 |
$133.69 |
| 90713 |
|
29 |
26 |
$120.02 |
| 87807 |
|
38 |
12 |
$62.88 |
| 97802 |
|
308 |
306 |
$0.00 |