| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
921 |
843 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
312 |
285 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
86 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
60 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
235 |
225 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
320 |
290 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
491 |
346 |
$3K |
| 90686 |
|
215 |
204 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
147 |
132 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
51 |
$700.66 |
| 90461 |
|
220 |
100 |
$673.19 |
| 0072A |
|
12 |
12 |
$480.00 |
| 0071A |
|
18 |
12 |
$320.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
12 |
$317.76 |
| 99072 |
|
1,577 |
1,275 |
$203.67 |
| 99000 |
|
298 |
280 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 83655 |
|
18 |
18 |
$0.00 |