| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,894 |
1,437 |
$182K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
470 |
434 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
25 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
24 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
65 |
59 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
30 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
63 |
$1K |
| 96161 |
|
17 |
13 |
$234.00 |
| 90686 |
|
224 |
204 |
$0.00 |
| 90656 |
|
16 |
15 |
$0.00 |