| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,260 |
2,017 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,051 |
962 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,673 |
1,170 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
411 |
399 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
310 |
286 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
283 |
229 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
88 |
$6K |
| 96127 |
|
566 |
492 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
100 |
87 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
67 |
$1K |
| 90670 |
|
64 |
55 |
$462.09 |
| 90686 |
|
87 |
85 |
$350.34 |
| 86328 |
|
13 |
13 |
$315.53 |
| 90651 |
|
29 |
29 |
$284.16 |
| 90710 |
|
24 |
24 |
$276.72 |
| 90677 |
|
65 |
58 |
$250.00 |
| 99173 |
|
97 |
92 |
$212.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$161.82 |
| 90648 |
|
131 |
115 |
$59.13 |
| 90661 |
|
95 |
90 |
$25.00 |
| 90461 |
|
59 |
44 |
$10.00 |
| 90674 |
|
101 |
91 |
$0.00 |
| 90723 |
|
47 |
41 |
$0.00 |