| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,889 |
1,627 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
633 |
554 |
$95K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
83 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
278 |
268 |
$10K |
| 99383 |
|
49 |
49 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
18 |
$4K |
| 99384 |
|
17 |
16 |
$3K |
| 99382 |
|
20 |
18 |
$3K |
| 98925 |
|
67 |
56 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
37 |
25 |
$888.49 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$412.78 |
| 99173 |
|
102 |
98 |
$365.69 |
| 90686 |
|
68 |
68 |
$124.88 |