| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
961 |
896 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
138 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
166 |
$7K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
34 |
32 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 90686 |
|
51 |
40 |
$385.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
26 |
$349.26 |
| 90656 |
|
20 |
20 |
$337.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
418 |
390 |
$329.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
17 |
$223.83 |
| 90461 |
|
27 |
26 |
$51.36 |