| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,260 |
5,097 |
$548K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,527 |
3,477 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
774 |
756 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
147 |
147 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
144 |
$14K |
| 90686 |
|
1,548 |
1,543 |
$7K |
| 99173 |
|
896 |
888 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
27 |
$1K |
| 90656 |
|
83 |
83 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
30 |
$745.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$462.91 |
| 90716 |
|
12 |
12 |
$444.43 |
| 90707 |
|
13 |
13 |
$257.12 |
| 96127 |
|
48 |
48 |
$222.76 |
| 90461 |
|
12 |
12 |
$0.00 |