| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,654 |
2,538 |
$196K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,831 |
1,720 |
$196K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,367 |
1,288 |
$19K |
| 92552 |
|
295 |
289 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
26 |
$3K |
| 90686 |
|
153 |
140 |
$1K |
| 90461 |
|
160 |
157 |
$974.08 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
14 |
$558.46 |
| 96127 |
|
94 |
94 |
$287.06 |
| 99173 |
|
178 |
167 |
$0.00 |