| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,949 |
2,769 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,447 |
1,391 |
$116K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,265 |
2,255 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
363 |
363 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
392 |
390 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
183 |
175 |
$11K |
| 87428 |
|
103 |
101 |
$7K |
| 92551 |
|
808 |
807 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
72 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
134 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
70 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
266 |
265 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
52 |
$1K |
| 87807 |
|
125 |
124 |
$1K |
| 99173 |
|
169 |
169 |
$279.92 |
| 81000 |
|
25 |
25 |
$97.81 |
| 85018 |
|
40 |
40 |
$80.52 |
| 94760 |
|
139 |
126 |
$1.61 |