| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,137 |
9,368 |
$558K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,211 |
8,642 |
$360K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
350 |
343 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
221 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
96 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
64 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,817 |
1,621 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
838 |
803 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
273 |
122 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
572 |
480 |
$3K |
| 81002 |
|
960 |
926 |
$1K |
| 87400 |
|
531 |
445 |
$908.61 |
| 99050 |
|
100 |
98 |
$244.77 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
151 |
143 |
$205.56 |
| 92551 |
|
677 |
659 |
$80.85 |
| 85018 |
|
36 |
36 |
$16.74 |
| 86769 |
|
14 |
14 |
$13.62 |
| 99173 |
|
681 |
660 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90658 |
|
77 |
77 |
$0.00 |
| 90734 |
|
45 |
45 |
$0.00 |