| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,036 |
4,426 |
$413K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,737 |
1,452 |
$91K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
198 |
174 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
43 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
87 |
86 |
$2K |
| 96127 |
|
800 |
672 |
$2K |
| 90686 |
|
182 |
168 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
762 |
679 |
$2K |
| 99401 |
|
77 |
75 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
116 |
116 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
88 |
88 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$910.00 |
| 99173 |
|
306 |
293 |
$884.00 |
| 92551 |
|
250 |
243 |
$791.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$533.00 |
| 0072A |
|
15 |
15 |
$520.00 |
| 0071A |
|
12 |
12 |
$400.00 |
| 90461 |
|
106 |
94 |
$52.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 96160 |
|
13 |
12 |
$0.00 |