| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,094 |
1,012 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
833 |
784 |
$45K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
98 |
13 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
672 |
656 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
67 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
29 |
$5K |
| 99188 |
|
594 |
576 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
72 |
60 |
$841.09 |
| 92552 |
|
138 |
136 |
$665.20 |
| 85018 |
|
362 |
354 |
$525.93 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
658 |
328 |
$502.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
383 |
350 |
$257.25 |
| 82962 |
|
282 |
273 |
$176.83 |
| 99072 |
|
656 |
570 |
$29.78 |
| 90686 |
|
138 |
138 |
$10.00 |
| 99173 |
|
141 |
138 |
$0.00 |
| 81002 |
|
95 |
94 |
$0.00 |
| 36416 |
|
315 |
306 |
$0.00 |