| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,003 |
759 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
388 |
290 |
$38K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
444 |
341 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
324 |
244 |
$3K |
| 90686 |
|
140 |
114 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
292 |
111 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
218 |
175 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
12 |
$1K |
| 0071A |
|
16 |
15 |
$573.22 |
| 90461 |
|
13 |
13 |
$523.04 |
| 99072 |
|
2,199 |
1,532 |
$128.85 |