| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
736 |
638 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
703 |
654 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
275 |
224 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
85 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
91 |
80 |
$6K |
| 90686 |
|
236 |
200 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
37 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 90670 |
|
95 |
86 |
$591.92 |
| 90648 |
|
91 |
83 |
$559.79 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$344.30 |
| 83655 |
|
27 |
24 |
$297.46 |
| 90734 |
|
15 |
14 |
$217.46 |
| 90633 |
|
33 |
29 |
$186.51 |
| 90723 |
|
28 |
27 |
$180.11 |
| 90680 |
|
12 |
12 |
$77.71 |
| 90696 |
|
13 |
12 |
$77.58 |
| 90710 |
|
13 |
12 |
$77.58 |
| 85018 |
|
12 |
12 |
$25.72 |