| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,378 |
5,089 |
$389K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,089 |
923 |
$91K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,301 |
1,216 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
213 |
202 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,318 |
1,186 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,171 |
584 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
172 |
164 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
113 |
100 |
$9K |
| 90461 |
|
573 |
529 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
53 |
$2K |
| 90670 |
|
48 |
41 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
15 |
$2K |
| 92551 |
|
201 |
185 |
$2K |
| 90686 |
|
266 |
255 |
$892.42 |
| 99173 |
|
465 |
417 |
$873.40 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$850.93 |
| 0072A |
|
12 |
12 |
$444.08 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$414.04 |
| 87428 |
|
12 |
12 |
$251.21 |
| 90710 |
|
13 |
12 |
$239.68 |
| 99051 |
|
12 |
12 |
$209.80 |
| 87420 |
|
20 |
16 |
$121.16 |
| 96127 |
|
19 |
14 |
$53.24 |
| 90633 |
|
14 |
13 |
$35.14 |
| 90648 |
|
13 |
13 |
$22.74 |
| 99174 |
|
55 |
52 |
$18.00 |
| 96160 |
|
19 |
14 |
$7.76 |
| 92558 |
|
108 |
100 |
$0.00 |
| 91307 |
|
17 |
13 |
$0.00 |
| 90680 |
|
14 |
13 |
$0.00 |
| 90698 |
|
13 |
12 |
$0.00 |