| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,113 |
12,053 |
$488K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,079 |
5,295 |
$363K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,471 |
1,190 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,343 |
1,267 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,338 |
1,037 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
190 |
162 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
74 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
83 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
58 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
58 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
41 |
$2K |
| 90688 |
|
52 |
48 |
$629.85 |
| G0008 |
Administration of influenza virus vaccine |
56 |
53 |
$602.55 |
| 87807 |
|
13 |
12 |
$156.12 |
| 81002 |
|
29 |
27 |
$88.67 |
| 87808 |
|
16 |
13 |
$26.02 |
| 1125F |
|
147 |
133 |
$0.00 |
| 1159F |
|
1,028 |
872 |
$0.00 |
| 1160F |
|
1,036 |
875 |
$0.00 |