| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,409 |
1,233 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
289 |
248 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
129 |
107 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
71 |
$5K |
| 87428 |
|
76 |
57 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
114 |
85 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
101 |
86 |
$2K |
| 90686 |
|
86 |
62 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
21 |
$985.38 |
| 90648 |
|
58 |
40 |
$890.33 |
| 90734 |
|
48 |
33 |
$777.18 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
17 |
$671.27 |
| 90670 |
|
38 |
31 |
$567.72 |
| 83655 |
|
40 |
31 |
$462.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$391.25 |
| 90633 |
|
21 |
13 |
$334.31 |
| 90651 |
|
19 |
14 |
$305.04 |
| 90723 |
|
17 |
14 |
$284.07 |
| 90680 |
|
14 |
12 |
$233.94 |
| 85018 |
|
60 |
47 |
$139.20 |