| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,044 |
2,701 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,583 |
3,042 |
$238K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
600 |
559 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,380 |
1,369 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,790 |
1,675 |
$48K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,374 |
1,278 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
309 |
309 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,816 |
1,700 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
280 |
258 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
111 |
$10K |
| 90474 |
|
147 |
147 |
$3K |
| 87807 |
|
127 |
124 |
$1K |
| 90686 |
|
497 |
495 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$706.37 |
| 96127 |
|
97 |
97 |
$342.56 |
| 90656 |
|
59 |
59 |
$104.73 |
| 96160 |
|
26 |
26 |
$0.00 |
| 90670 |
|
326 |
326 |
$0.00 |
| 90633 |
|
29 |
29 |
$0.00 |
| 90698 |
|
156 |
156 |
$0.00 |
| 90680 |
|
132 |
132 |
$0.00 |
| 90744 |
|
64 |
64 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |