| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
573 |
504 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
274 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
177 |
166 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
152 |
148 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
241 |
236 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
51 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
91 |
88 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$233.52 |
| 87807 |
|
14 |
14 |
$133.00 |
| 96127 |
|
219 |
196 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 99173 |
|
106 |
99 |
$0.00 |
| 90670 |
|
89 |
88 |
$0.00 |
| 90461 |
|
73 |
72 |
$0.00 |