| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,173 |
9,233 |
$882K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,189 |
3,864 |
$229K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
258 |
254 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,247 |
1,188 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
530 |
501 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
396 |
384 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
321 |
317 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,783 |
1,701 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,456 |
709 |
$15K |
| 90461 |
|
249 |
237 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
146 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
213 |
192 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
121 |
117 |
$3K |
| 90686 |
|
151 |
148 |
$3K |
| 92551 |
|
269 |
264 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 90672 |
|
68 |
68 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99173 |
|
288 |
284 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
24 |
$601.22 |
| 96127 |
|
131 |
119 |
$572.82 |
| 87807 |
|
26 |
26 |
$271.88 |
| 90671 |
|
12 |
12 |
$237.48 |
| 90670 |
|
12 |
12 |
$217.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
12 |
$90.00 |
| 99000 |
|
18 |
16 |
$63.00 |