| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,883 |
1,714 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
502 |
487 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
847 |
541 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
113 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
26 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57 |
56 |
$2K |
| 90461 |
|
75 |
24 |
$849.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
65 |
$694.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$357.76 |
| 87807 |
|
35 |
34 |
$294.70 |
| 90686 |
|
82 |
76 |
$41.00 |