| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,190 |
4,791 |
$356K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,997 |
2,402 |
$137K |
| 87428 |
|
741 |
495 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
107 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
160 |
110 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
499 |
333 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
534 |
401 |
$4K |
| 90686 |
|
336 |
294 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
77 |
67 |
$2K |
| 92551 |
|
218 |
189 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
160 |
50 |
$1K |
| 81002 |
|
593 |
443 |
$1K |
| 87081 |
|
222 |
165 |
$937.51 |
| 99072 |
|
1,768 |
1,497 |
$890.87 |
| 85018 |
|
330 |
253 |
$608.85 |
| 0071A |
|
12 |
12 |
$440.00 |
| 96127 |
|
218 |
152 |
$433.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$225.82 |
| 99173 |
|
104 |
91 |
$176.43 |
| 36416 |
|
521 |
381 |
$132.40 |
| 90619 |
|
22 |
12 |
$44.00 |
| 96160 |
|
12 |
12 |
$27.60 |
| 99000 |
|
558 |
517 |
$17.74 |
| 99051 |
|
82 |
66 |
$0.00 |