| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,516 |
4,241 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,250 |
1,197 |
$123K |
| 90686 |
|
1,272 |
1,243 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
45 |
42 |
$6K |
| 99215 |
Prolong outpt/office vis |
48 |
47 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
147 |
144 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
37 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| 96127 |
|
121 |
118 |
$1K |
| 99177 |
|
102 |
97 |
$522.51 |
| 0071A |
|
20 |
15 |
$440.00 |
| 0072A |
|
16 |
13 |
$440.00 |
| 90656 |
|
14 |
14 |
$303.06 |
| 90670 |
|
12 |
12 |
$263.52 |
| 96160 |
|
16 |
16 |
$157.02 |
| 92558 |
|
16 |
16 |
$107.94 |