| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,222 |
2,584 |
$272K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
838 |
714 |
$29K |
| 96127 |
|
873 |
781 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,329 |
715 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
237 |
211 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
174 |
144 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
948 |
747 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
175 |
148 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
98 |
95 |
$8K |
| 92587 |
|
379 |
365 |
$5K |
| 99173 |
|
518 |
474 |
$4K |
| 36416 |
|
764 |
697 |
$3K |
| 83655 |
|
180 |
174 |
$2K |
| 85018 |
|
771 |
708 |
$2K |
| 87807 |
|
156 |
127 |
$2K |
| 90619 |
|
65 |
63 |
$1K |
| 90686 |
|
15 |
14 |
$250.65 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$0.00 |