| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,993 |
2,518 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,147 |
1,045 |
$42K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
947 |
833 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,605 |
1,454 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
260 |
260 |
$20K |
| 92552 |
|
541 |
540 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
536 |
476 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,129 |
1,099 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
112 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
715 |
697 |
$7K |
| 87807 |
|
559 |
504 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
65 |
$5K |
| 99215 |
Prolong outpt/office vis |
30 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 90686 |
|
186 |
185 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |