| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,580 |
7,657 |
$475K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
342 |
336 |
$24K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
114 |
114 |
$22K |
| 93000 |
|
1,557 |
1,542 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
200 |
200 |
$16K |
| 94010 |
|
658 |
649 |
$15K |
| 92552 |
|
716 |
716 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
130 |
130 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
118 |
111 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
146 |
$2K |
| 90688 |
|
50 |
50 |
$719.49 |
| 90674 |
|
16 |
16 |
$371.08 |
| 90756 |
|
19 |
19 |
$339.37 |
| 99406 |
|
12 |
12 |
$108.04 |