| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
503 |
377 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
115 |
$20K |
| 87428 |
|
258 |
171 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
198 |
131 |
$4K |
| 87070 |
|
113 |
112 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
123 |
$2K |
| 99174 |
|
55 |
55 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$335.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$244.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$144.20 |
| 90686 |
|
32 |
17 |
$16.00 |