| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,030 |
1,667 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
120 |
$14K |
| 92552 |
|
301 |
299 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
341 |
318 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
49 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
45 |
44 |
$1K |
| 92567 |
|
95 |
87 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
15 |
$782.49 |
| 99173 |
|
292 |
290 |
$425.29 |