| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,466 |
4,025 |
$302K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,844 |
5,972 |
$235K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
693 |
633 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
371 |
339 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
695 |
662 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
247 |
236 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
204 |
193 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
906 |
850 |
$11K |
| 90686 |
|
374 |
333 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
67 |
$4K |
| 90670 |
|
287 |
282 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
29 |
$2K |
| 90698 |
|
92 |
92 |
$1K |
| 90734 |
|
53 |
52 |
$607.50 |
| 90651 |
|
54 |
53 |
$584.22 |
| 90688 |
|
59 |
58 |
$554.48 |
| 90707 |
|
51 |
49 |
$538.82 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$476.13 |
| 90716 |
|
39 |
37 |
$433.66 |
| 90633 |
|
47 |
45 |
$411.08 |
| 87807 |
|
24 |
24 |
$299.23 |
| 90715 |
|
24 |
24 |
$279.26 |
| 90685 |
|
30 |
28 |
$267.68 |
| 94664 |
|
15 |
12 |
$180.70 |
| 90677 |
|
12 |
12 |
$157.68 |
| 90744 |
|
12 |
12 |
$157.68 |