| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
974 |
928 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
200 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
194 |
194 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
216 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
79 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$940.60 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
23 |
23 |
$907.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$361.76 |
| 96161 |
|
15 |
14 |
$75.00 |
| 90656 |
|
23 |
23 |
$0.03 |
| 90686 |
|
135 |
135 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |