| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,096 |
1,050 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
380 |
375 |
$27K |
| 99051 |
|
297 |
292 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
121 |
118 |
$5K |
| 99174 |
|
594 |
582 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
30 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90686 |
|
282 |
245 |
$1K |
| 92551 |
|
339 |
338 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
29 |
$896.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
39 |
$388.72 |
| 99072 |
|
92 |
91 |
$318.50 |
| 83655 |
|
117 |
117 |
$161.61 |
| 96127 |
|
117 |
116 |
$75.77 |
| 96160 |
|
121 |
120 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| 90656 |
|
81 |
81 |
$0.00 |