| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,419 |
1,255 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
278 |
255 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
193 |
163 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
222 |
199 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
35 |
33 |
$3K |
| 90677 |
|
56 |
54 |
$2K |
| 90686 |
|
125 |
123 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
36 |
33 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
33 |
30 |
$1K |
| 90670 |
|
75 |
54 |
$1K |
| 90656 |
|
51 |
51 |
$864.71 |
| 90697 |
|
50 |
50 |
$850.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$659.70 |
| 90680 |
|
38 |
38 |
$643.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
249 |
212 |
$0.00 |
| 90461 |
|
83 |
52 |
$0.00 |