| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
953 |
884 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,234 |
1,178 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
397 |
375 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
425 |
341 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
67 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
264 |
258 |
$3K |
| 90723 |
|
55 |
54 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
66 |
63 |
$2K |
| 90671 |
|
93 |
84 |
$2K |
| 90686 |
|
130 |
129 |
$1K |
| 90647 |
|
71 |
64 |
$607.31 |
| 87634 |
|
14 |
13 |
$602.31 |
| 90677 |
|
58 |
56 |
$484.22 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$459.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$417.06 |
| 99188 |
|
16 |
12 |
$235.16 |
| 96161 |
|
84 |
71 |
$192.00 |
| 90670 |
|
14 |
14 |
$123.24 |