| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,849 |
4,148 |
$393K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,178 |
2,597 |
$115K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,856 |
1,582 |
$89K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,936 |
1,391 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,030 |
908 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
272 |
269 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
293 |
274 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,222 |
1,022 |
$16K |
| 87807 |
|
610 |
531 |
$6K |
| 82805 |
|
167 |
118 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
66 |
$6K |
| 90461 |
|
550 |
472 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
38 |
$976.56 |
| 92552 |
|
31 |
30 |
$757.80 |
| 94760 |
|
167 |
118 |
$276.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$179.52 |
| 90685 |
|
119 |
119 |
$0.00 |
| 90670 |
|
124 |
120 |
$0.00 |
| 90658 |
|
38 |
37 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90686 |
|
353 |
338 |
$0.00 |
| 90657 |
|
17 |
16 |
$0.00 |