| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,728 |
1,655 |
$81K |
| 99051 |
|
1,659 |
1,572 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
467 |
448 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
94 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
256 |
252 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
263 |
129 |
$3K |
| 87428 |
|
107 |
106 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| 90686 |
|
35 |
31 |
$319.00 |
| 99188 |
|
15 |
15 |
$297.00 |
| 90648 |
|
12 |
12 |
$133.00 |
| 90723 |
|
12 |
12 |
$132.00 |
| 90670 |
|
12 |
12 |
$132.00 |
| 92551 |
|
63 |
63 |
$104.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| 99177 |
|
83 |
83 |
$0.00 |