| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,941 |
9,853 |
$403K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,736 |
1,537 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
760 |
639 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
101 |
$9K |
| 90670 |
|
203 |
202 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
19 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
44 |
$1K |
| 90686 |
|
122 |
119 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
26 |
25 |
$951.74 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
25 |
$794.40 |
| 81003 |
|
396 |
379 |
$781.37 |
| 90648 |
|
64 |
63 |
$639.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
37 |
$545.07 |
| 90685 |
|
13 |
13 |
$139.23 |
| 90723 |
|
12 |
12 |
$107.10 |
| 1159F |
|
230 |
206 |
$0.40 |
| 1160F |
|
230 |
206 |
$0.40 |
| 3074F |
|
46 |
42 |
$0.08 |
| 3078F |
|
27 |
24 |
$0.04 |