| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,338 |
3,042 |
$158K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,608 |
1,483 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
269 |
265 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,336 |
571 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
66 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
75 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
131 |
128 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
499 |
482 |
$2K |
| 99000 |
|
195 |
187 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
24 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
18 |
$1K |
| 90461 |
|
278 |
220 |
$1K |
| 80050 |
General health panel |
40 |
40 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
85 |
$746.76 |
| 80061 |
Lipid panel |
86 |
79 |
$551.25 |
| 87400 |
|
37 |
18 |
$126.78 |
| 96127 |
|
110 |
107 |
$8.88 |
| 3078F |
|
578 |
542 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 3008F |
|
778 |
729 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 3074F |
|
546 |
514 |
$0.00 |
| 90686 |
|
29 |
29 |
$0.00 |