| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,549 |
2,106 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,144 |
1,073 |
$96K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
618 |
582 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
742 |
576 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
126 |
124 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
99 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
104 |
95 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
364 |
350 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
101 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
33 |
$4K |
| 87807 |
|
268 |
254 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
344 |
335 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
247 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
115 |
110 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$976.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
18 |
$238.01 |
| 90686 |
|
25 |
20 |
$97.62 |
| 90473 |
|
12 |
12 |
$45.00 |
| 96161 |
|
15 |
15 |
$26.25 |
| 90461 |
|
228 |
224 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |