| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,915 |
1,759 |
$124K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,207 |
1,182 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
360 |
334 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
177 |
177 |
$14K |
| 92551 |
|
621 |
620 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
182 |
174 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
165 |
158 |
$3K |
| 0071A |
|
51 |
51 |
$2K |
| 0072A |
|
27 |
27 |
$1K |
| 90461 |
|
26 |
26 |
$873.43 |
| 99173 |
|
485 |
484 |
$800.94 |
| 99401 |
|
13 |
13 |
$399.66 |
| 90686 |
|
344 |
344 |
$275.68 |
| 90656 |
|
15 |
15 |
$89.40 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
40 |
38 |
$23.46 |
| 91307 |
|
95 |
94 |
$0.05 |