| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,084 |
6,020 |
$629K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,325 |
2,485 |
$346K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,291 |
2,074 |
$221K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,164 |
1,889 |
$187K |
| 99381 |
|
241 |
181 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
86 |
$8K |
| 87428 |
|
228 |
169 |
$5K |
| 87430 |
|
238 |
192 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
39 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
25 |
$903.54 |
| 99051 |
|
79 |
71 |
$821.70 |
| 87400 |
|
52 |
27 |
$652.68 |
| 87420 |
|
31 |
24 |
$306.00 |
| 99177 |
|
3,274 |
2,839 |
$125.00 |
| 96127 |
|
15 |
15 |
$84.84 |