| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,417 |
4,290 |
$208K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,722 |
1,579 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
861 |
774 |
$19K |
| 94010 |
|
849 |
797 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,076 |
966 |
$12K |
| 93000 |
|
774 |
728 |
$9K |
| 92557 |
|
180 |
162 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
119 |
113 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
432 |
179 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
123 |
62 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
327 |
273 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
35 |
31 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 90756 |
|
131 |
107 |
$2K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$1K |
| 99406 |
|
172 |
128 |
$942.48 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$876.66 |
| 86328 |
|
28 |
22 |
$587.99 |
| 90674 |
|
30 |
29 |
$421.95 |
| 99173 |
|
187 |
165 |
$244.38 |