| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,301 |
2,127 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,164 |
2,018 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
323 |
323 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
312 |
310 |
$17K |
| 92551 |
|
515 |
508 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
205 |
204 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
69 |
$3K |
| 90686 |
|
414 |
413 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
117 |
117 |
$2K |
| 90723 |
|
51 |
51 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
48 |
$1K |
| 90688 |
|
246 |
245 |
$1K |
| 90670 |
|
214 |
213 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$803.88 |
| 99382 |
|
12 |
12 |
$770.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
21 |
$532.30 |
| 0071A |
|
13 |
13 |
$520.00 |
| 90647 |
|
78 |
78 |
$411.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$347.66 |
| 90710 |
|
13 |
13 |
$278.20 |
| 99188 |
|
13 |
13 |
$188.50 |
| 99051 |
|
13 |
13 |
$139.10 |
| 99173 |
|
39 |
38 |
$135.67 |
| 90633 |
|
12 |
12 |
$64.20 |
| 90680 |
|
12 |
12 |
$64.20 |
| 90651 |
|
12 |
12 |
$58.85 |
| 99072 |
|
14 |
13 |
$42.00 |