| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,524 |
5,458 |
$334K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
997 |
897 |
$15K |
| 87428 |
|
442 |
383 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
617 |
577 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
187 |
175 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
469 |
219 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
55 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
35 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
59 |
$2K |
| 90686 |
|
260 |
250 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
24 |
$637.44 |
| 87807 |
|
41 |
40 |
$468.55 |
| 90658 |
|
12 |
12 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |