| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,283 |
3,836 |
$213K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,826 |
2,329 |
$92K |
| 87428 |
|
1,902 |
1,612 |
$82K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,091 |
2,664 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,996 |
1,673 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
537 |
495 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
475 |
441 |
$34K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
574 |
517 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
380 |
328 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,141 |
526 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
139 |
138 |
$12K |
| 90461 |
|
1,092 |
842 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75 |
73 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
263 |
231 |
$5K |
| 92558 |
|
772 |
766 |
$3K |
| 99174 |
|
1,056 |
1,001 |
$2K |
| 87420 |
|
60 |
54 |
$502.24 |
| 99000 |
|
54 |
47 |
$442.80 |
| 87807 |
|
13 |
13 |
$143.00 |
| 90633 |
|
49 |
43 |
$16.45 |
| 90648 |
|
188 |
168 |
$0.00 |
| 90670 |
|
233 |
205 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90710 |
|
15 |
14 |
$0.00 |
| 96127 |
|
104 |
102 |
$0.00 |
| 90686 |
|
402 |
388 |
$0.00 |
| 90723 |
|
80 |
75 |
$0.00 |
| 90696 |
|
18 |
17 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |