| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,163 |
9,728 |
$979K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,514 |
1,261 |
$53K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,821 |
1,491 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
641 |
519 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
525 |
444 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
127 |
109 |
$7K |
| 99173 |
|
733 |
619 |
$5K |
| 0001A |
|
58 |
51 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
152 |
132 |
$2K |
| 90649 |
|
96 |
73 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
20 |
$2K |
| 90656 |
|
175 |
156 |
$1K |
| 92567 |
|
84 |
62 |
$1K |
| 90651 |
|
49 |
32 |
$928.21 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$651.84 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
14 |
$476.36 |
| 90734 |
|
34 |
25 |
$344.55 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$297.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
294 |
265 |
$290.06 |