| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,877 |
3,224 |
$229K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,773 |
4,006 |
$149K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,848 |
1,539 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
743 |
666 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
331 |
287 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
349 |
237 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
327 |
303 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
910 |
354 |
$12K |
| 90686 |
|
981 |
920 |
$11K |
| 95117 |
|
667 |
272 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
179 |
126 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
33 |
26 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
69 |
$4K |
| 90670 |
|
322 |
294 |
$3K |
| 90648 |
|
305 |
278 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
29 |
$2K |
| 90723 |
|
130 |
122 |
$1K |
| 87807 |
|
56 |
52 |
$650.50 |
| 90734 |
|
78 |
70 |
$647.68 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$634.14 |
| 90651 |
|
44 |
38 |
$339.00 |
| 90716 |
|
30 |
26 |
$250.00 |
| 90707 |
|
30 |
26 |
$240.00 |
| 90715 |
|
29 |
24 |
$224.72 |
| 90681 |
|
16 |
13 |
$130.00 |
| 90633 |
|
13 |
13 |
$120.00 |
| 90685 |
|
13 |
12 |
$110.30 |