| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,841 |
1,602 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
263 |
261 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
825 |
773 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
114 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
696 |
345 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
438 |
212 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
29 |
29 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$750.00 |
| 90461 |
|
18 |
14 |
$122.49 |
| 90686 |
|
83 |
82 |
$5.00 |
| 90651 |
|
44 |
42 |
$3.35 |
| 90734 |
|
20 |
18 |
$3.35 |