| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,945 |
6,298 |
$478K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
849 |
816 |
$81K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
903 |
897 |
$9K |
| 90674 |
|
245 |
244 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
140 |
132 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
149 |
147 |
$5K |
| 87428 |
|
28 |
27 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90688 |
|
52 |
51 |
$481.00 |
| 90756 |
|
12 |
12 |
$343.60 |
| 99406 |
|
16 |
15 |
$186.98 |
| 99072 |
|
18 |
18 |
$0.00 |
| 90686 |
|
79 |
79 |
$0.00 |