| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,773 |
1,540 |
$135K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,361 |
1,203 |
$73K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,928 |
1,628 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
678 |
598 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
168 |
160 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
940 |
690 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
133 |
117 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
274 |
238 |
$5K |
| 87807 |
|
185 |
164 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
32 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
52 |
$618.87 |
| 92551 |
|
29 |
29 |
$238.23 |
| 81002 |
|
81 |
77 |
$197.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
13 |
$178.67 |
| 99173 |
|
29 |
29 |
$58.46 |
| 90647 |
|
14 |
14 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |