| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,124 |
1,897 |
$179K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,430 |
1,308 |
$172K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,013 |
985 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
249 |
246 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
185 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
173 |
143 |
$16K |
| 90461 |
|
368 |
365 |
$12K |
| 92551 |
|
527 |
519 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
145 |
$2K |
| 99173 |
|
400 |
391 |
$973.14 |
| 90480 |
|
13 |
13 |
$520.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
13 |
$117.30 |
| 96127 |
|
14 |
14 |
$55.16 |
| 36416 |
|
12 |
12 |
$0.00 |
| 90686 |
|
367 |
360 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 90671 |
|
15 |
13 |
$0.00 |