| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,104 |
2,734 |
$215K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,997 |
1,787 |
$203K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,521 |
1,495 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
212 |
212 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
204 |
204 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
77 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,060 |
1,018 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
226 |
213 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
131 |
130 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
52 |
$2K |
| 0072A |
|
41 |
41 |
$2K |
| 0071A |
|
25 |
25 |
$1K |
| 92551 |
|
619 |
617 |
$919.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
19 |
$835.05 |
| 99173 |
|
393 |
393 |
$273.25 |
| 99051 |
|
15 |
14 |
$216.30 |
| 94760 |
|
47 |
46 |
$0.00 |