| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,832 |
4,581 |
$479K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,588 |
1,529 |
$110K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,258 |
1,251 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
269 |
269 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
220 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
197 |
196 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
197 |
196 |
$17K |
| 83655 |
|
1,212 |
1,207 |
$14K |
| 92587 |
|
481 |
481 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
59 |
58 |
$8K |
| 99406 |
|
372 |
352 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
49 |
$4K |
| 99215 |
Prolong outpt/office vis |
36 |
36 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
73 |
71 |
$3K |
| 85018 |
|
1,340 |
1,337 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
89 |
87 |
$3K |
| 87428 |
|
32 |
31 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
58 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
18 |
$894.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
56 |
$893.74 |
| 90688 |
|
102 |
102 |
$593.04 |
| 90686 |
|
98 |
98 |
$376.75 |
| 81000 |
|
13 |
13 |
$43.03 |
| 90658 |
|
73 |
73 |
$2.00 |
| 90674 |
|
13 |
13 |
$0.00 |