| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,299 |
5,302 |
$483K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,168 |
2,686 |
$116K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,995 |
1,743 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,997 |
1,578 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,216 |
1,035 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
284 |
282 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
269 |
255 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,363 |
1,199 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
160 |
158 |
$13K |
| 87807 |
|
541 |
500 |
$6K |
| 90461 |
|
504 |
437 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
37 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
65 |
$2K |
| 90686 |
|
506 |
504 |
$84.25 |
| 92552 |
|
38 |
37 |
$25.26 |
| 90685 |
|
93 |
90 |
$0.00 |
| 90670 |
|
148 |
143 |
$0.00 |
| 90658 |
|
49 |
48 |
$0.00 |