| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,780 |
2,498 |
$135K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
612 |
576 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
321 |
321 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
230 |
229 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
177 |
173 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
172 |
168 |
$19K |
| 90686 |
|
631 |
622 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
297 |
269 |
$3K |
| 0124A |
|
54 |
50 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
48 |
48 |
$2K |
| 92551 |
|
133 |
125 |
$1K |
| 99173 |
|
189 |
181 |
$553.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
49 |
49 |
$474.41 |
| 96127 |
|
119 |
114 |
$472.33 |
| 90670 |
|
91 |
91 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 96160 |
|
16 |
12 |
$0.00 |
| 90698 |
|
90 |
90 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |