| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,793 |
1,680 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
265 |
264 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,938 |
893 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
172 |
172 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
161 |
161 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
146 |
146 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
118 |
116 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
228 |
114 |
$3K |
| 90461 |
|
547 |
456 |
$3K |
| 92551 |
|
234 |
234 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
40 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
118 |
116 |
$234.60 |
| 90697 |
|
28 |
28 |
$0.26 |
| 90716 |
|
28 |
28 |
$0.00 |
| 90651 |
|
61 |
37 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |
| 90686 |
|
34 |
33 |
$0.00 |
| 90734 |
|
77 |
56 |
$0.00 |
| 90658 |
|
144 |
144 |
$0.00 |
| 99173 |
|
229 |
229 |
$0.00 |
| 90670 |
|
123 |
123 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90648 |
|
28 |
28 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |