| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,000 |
808 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
320 |
278 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
110 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
147 |
103 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
43 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
34 |
$3K |
| 90688 |
|
71 |
64 |
$977.50 |
| 90734 |
|
24 |
24 |
$315.36 |
| 90633 |
|
34 |
28 |
$248.56 |
| 90674 |
|
57 |
52 |
$200.23 |
| 90651 |
|
14 |
13 |
$170.82 |
| 90686 |
|
13 |
12 |
$170.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,447 |
2,208 |
$119.00 |