| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,141 |
3,442 |
$376K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,535 |
1,397 |
$114K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,315 |
1,271 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
262 |
253 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
225 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
156 |
143 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
112 |
110 |
$5K |
| 90461 |
|
81 |
78 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
33 |
$407.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
15 |
$130.16 |
| 90651 |
|
46 |
44 |
$0.00 |
| 97802 |
|
314 |
303 |
$0.00 |
| 90686 |
|
504 |
473 |
$0.00 |
| 90734 |
|
28 |
26 |
$0.00 |
| 90633 |
|
64 |
64 |
$0.00 |
| 99188 |
|
35 |
24 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |