| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,053 |
5,613 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
757 |
730 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
526 |
510 |
$18K |
| 92551 |
|
1,139 |
1,104 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
550 |
458 |
$8K |
| 99173 |
|
606 |
601 |
$4K |
| 90686 |
|
393 |
384 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
72 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
84 |
81 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
73 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
216 |
208 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
53 |
$1K |
| 90656 |
|
67 |
67 |
$597.34 |
| 90677 |
|
12 |
12 |
$406.03 |
| 96127 |
|
59 |
54 |
$221.68 |