| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,693 |
1,166 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
375 |
260 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
376 |
235 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
97 |
69 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
132 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
12 |
$700.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
169 |
102 |
$591.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
51 |
39 |
$492.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
13 |
$483.00 |
| 90461 |
|
73 |
35 |
$376.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
13 |
$154.00 |
| 99173 |
|
119 |
57 |
$90.00 |