| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,129 |
5,355 |
$326K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,340 |
5,484 |
$315K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
459 |
382 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
101 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
91 |
82 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
101 |
97 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
26 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
26 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
210 |
164 |
$994.82 |
| 90670 |
|
46 |
44 |
$504.85 |
| 90648 |
|
30 |
28 |
$369.27 |
| 90686 |
|
14 |
12 |
$156.04 |
| 90723 |
|
16 |
14 |
$104.00 |
| 90680 |
|
14 |
12 |
$88.00 |
| 3078F |
|
1,069 |
915 |
$0.00 |
| 3074F |
|
581 |
479 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |