| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
664 |
565 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,079 |
839 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
403 |
361 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
218 |
181 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
116 |
111 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
27 |
27 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
139 |
112 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$3K |
| 90677 |
|
94 |
92 |
$1K |
| 90697 |
|
77 |
75 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
81 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 87807 |
|
97 |
80 |
$1K |
| 87400 |
|
55 |
42 |
$552.98 |
| 90680 |
|
32 |
32 |
$420.48 |
| 90661 |
|
14 |
14 |
$200.85 |