| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
206 |
157 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
104 |
88 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
86 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
80 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
42 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
35 |
25 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
13 |
$850.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
81 |
$807.26 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
46 |
$696.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
61 |
$695.31 |
| 92551 |
|
56 |
50 |
$346.51 |
| 99188 |
|
17 |
14 |
$212.15 |
| 90474 |
|
17 |
13 |
$82.17 |
| 99173 |
|
54 |
48 |
$79.80 |
| 90671 |
|
24 |
18 |
$0.00 |
| 90648 |
|
22 |
16 |
$0.00 |
| 90723 |
|
21 |
16 |
$0.00 |