| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
639 |
548 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
926 |
816 |
$79K |
| 92552 |
|
373 |
353 |
$9K |
| 90688 |
|
191 |
191 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99173 |
|
376 |
355 |
$926.28 |
| 87428 |
|
13 |
13 |
$402.22 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
74 |
70 |
$252.38 |
| 83718 |
|
332 |
322 |
$223.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
230 |
200 |
$210.24 |
| 87088 |
|
472 |
448 |
$206.44 |
| 99401 |
|
108 |
101 |
$160.00 |
| 82465 |
|
332 |
322 |
$118.49 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
713 |
679 |
$116.81 |
| 87081 |
|
239 |
211 |
$104.00 |
| 86580 |
|
44 |
44 |
$98.54 |
| 85018 |
|
427 |
404 |
$72.33 |
| 81000 |
|
472 |
448 |
$70.40 |
| 84478 |
|
14 |
12 |
$11.28 |
| 36416 |
|
457 |
409 |
$3.00 |
| 99000 |
|
17 |
16 |
$0.00 |
| 80061 |
Lipid panel |
71 |
57 |
$0.00 |
| 99001 |
|
71 |
67 |
$0.00 |