| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,494 |
1,342 |
$77K |
| 99215 |
Prolong outpt/office vis |
459 |
424 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
133 |
132 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
178 |
167 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
158 |
126 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$996.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
28 |
$722.80 |
| 92551 |
|
147 |
145 |
$593.70 |
| 90686 |
|
62 |
57 |
$0.00 |
| 99173 |
|
248 |
244 |
$0.00 |