| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,780 |
1,496 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,246 |
1,952 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
293 |
274 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
271 |
257 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,634 |
1,666 |
$8K |
| 92552 |
|
1,003 |
959 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
53 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
405 |
375 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
13 |
$901.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
220 |
108 |
$631.04 |
| 90686 |
|
468 |
424 |
$559.11 |
| 90461 |
|
393 |
328 |
$236.03 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
54 |
50 |
$207.14 |
| 90633 |
|
42 |
38 |
$128.33 |
| 90688 |
|
77 |
67 |
$70.00 |
| 90716 |
|
12 |
12 |
$24.01 |
| 99173 |
|
827 |
735 |
$6.57 |
| 96127 |
|
152 |
76 |
$0.00 |
| 90687 |
|
19 |
18 |
$0.00 |
| 96160 |
|
13 |
12 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |