| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,856 |
3,504 |
$241K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
981 |
940 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
747 |
747 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
725 |
725 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
447 |
447 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,756 |
1,736 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
332 |
326 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
417 |
401 |
$5K |
| 81002 |
|
1,795 |
1,751 |
$5K |
| 92551 |
|
764 |
762 |
$5K |
| 99000 |
|
621 |
607 |
$5K |
| 97803 |
|
1,452 |
1,450 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
74 |
$803.28 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
39 |
39 |
$155.36 |
| 90461 |
|
732 |
731 |
$11.20 |
| 99173 |
|
1,036 |
1,033 |
$6.00 |
| 90686 |
|
495 |
493 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| 90680 |
|
52 |
52 |
$0.00 |
| 90656 |
|
38 |
38 |
$0.00 |
| 90723 |
|
58 |
58 |
$0.00 |
| 90648 |
|
231 |
231 |
$0.00 |
| 90670 |
|
200 |
200 |
$0.00 |
| 90633 |
|
97 |
97 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |