| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,058 |
1,680 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
884 |
762 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
499 |
394 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
193 |
157 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
103 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
105 |
88 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
57 |
$720.02 |
| 90686 |
|
222 |
172 |
$587.91 |
| 90461 |
|
348 |
304 |
$297.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
26 |
$150.00 |
| 92551 |
|
17 |
16 |
$91.26 |
| 90647 |
|
19 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90670 |
|
80 |
62 |
$0.00 |