| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,075 |
1,850 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
374 |
341 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,391 |
1,261 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
481 |
387 |
$24K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
134 |
122 |
$16K |
| 90461 |
|
163 |
158 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
39 |
$562.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
30 |
$429.78 |
| 99173 |
|
14 |
14 |
$42.00 |
| 90686 |
|
234 |
228 |
$0.00 |
| 90688 |
|
21 |
21 |
$0.00 |
| 90672 |
|
15 |
13 |
$0.00 |