| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,203 |
3,374 |
$246K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,482 |
2,335 |
$80K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,130 |
2,671 |
$46K |
| 92587 |
|
1,228 |
1,163 |
$45K |
| 99173 |
|
881 |
843 |
$44K |
| 99215 |
Prolong outpt/office vis |
264 |
245 |
$23K |
| 87807 |
|
1,282 |
1,120 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
76 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
76 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
81 |
70 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
43 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
92 |
90 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$849.32 |
| 83655 |
|
24 |
24 |
$285.80 |
| 3008F |
|
937 |
893 |
$1.05 |
| 2014F |
|
152 |
144 |
$0.12 |