| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,495 |
8,288 |
$823K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,291 |
10,967 |
$762K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,136 |
6,076 |
$155K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,121 |
1,101 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
253 |
253 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,155 |
1,057 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
186 |
186 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
126 |
126 |
$12K |
| 90686 |
|
1,690 |
1,690 |
$7K |
| 99177 |
|
1,240 |
1,239 |
$6K |
| 99173 |
|
1,205 |
1,204 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
124 |
121 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
169 |
169 |
$2K |
| 90656 |
|
120 |
120 |
$2K |
| 92551 |
|
104 |
104 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$963.00 |
| 0071A |
|
16 |
13 |
$640.00 |
| 90670 |
|
13 |
13 |
$628.89 |
| 90619 |
|
13 |
13 |
$148.71 |
| 96127 |
|
15 |
15 |
$65.99 |
| 90715 |
|
12 |
12 |
$50.48 |
| 91307 |
|
29 |
25 |
$0.00 |