| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,353 |
5,133 |
$346K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,226 |
1,198 |
$101K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,177 |
1,154 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
80 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
447 |
443 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
193 |
180 |
$4K |
| 90619 |
|
14 |
14 |
$2K |
| 96127 |
|
179 |
179 |
$748.89 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$626.51 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$522.42 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$345.09 |
| 90686 |
|
74 |
74 |
$240.23 |