| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,366 |
3,843 |
$262K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,475 |
2,265 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
732 |
729 |
$13K |
| 99490 |
Ccm add 20min |
396 |
396 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$3K |
| 87428 |
|
81 |
79 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$3K |
| 80305 |
|
135 |
129 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
22 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
13 |
12 |
$909.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
28 |
$395.51 |
| 90686 |
|
201 |
201 |
$112.18 |
| 99051 |
|
13 |
13 |
$81.12 |