| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,269 |
1,122 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,809 |
1,542 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
382 |
321 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
194 |
172 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
198 |
163 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
143 |
125 |
$10K |
| 90686 |
|
649 |
599 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
84 |
83 |
$4K |
| 90656 |
|
131 |
131 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
36 |
27 |
$2K |
| 90619 |
|
75 |
51 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
12 |
$934.18 |
| 90651 |
|
64 |
41 |
$825.62 |
| 90677 |
|
29 |
26 |
$766.20 |
| 90715 |
|
40 |
16 |
$624.95 |
| 90697 |
|
32 |
28 |
$543.22 |
| 90680 |
|
31 |
27 |
$526.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$500.80 |
| 90670 |
|
17 |
17 |
$289.07 |
| 90734 |
|
14 |
12 |
$90.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
96 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
998 |
780 |
$0.00 |
| 90461 |
|
188 |
121 |
$0.00 |