| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,021 |
2,496 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
732 |
606 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
660 |
484 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
249 |
228 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
217 |
201 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
119 |
$10K |
| 90686 |
|
629 |
546 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
290 |
213 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
89 |
68 |
$3K |
| 90670 |
|
150 |
145 |
$1K |
| 90648 |
|
147 |
137 |
$948.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
28 |
$833.17 |
| 90734 |
|
31 |
31 |
$473.36 |
| 90651 |
|
28 |
28 |
$398.32 |
| 90633 |
|
49 |
28 |
$359.23 |
| 90710 |
|
15 |
14 |
$292.53 |
| 90723 |
|
43 |
40 |
$264.61 |
| 90715 |
|
29 |
29 |
$245.46 |
| 90696 |
|
15 |
14 |
$142.39 |
| 90680 |
|
13 |
13 |
$84.11 |