| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,751 |
1,586 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
925 |
844 |
$45K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
387 |
365 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
632 |
579 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
797 |
394 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
62 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
268 |
245 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
100 |
99 |
$925.26 |
| 92551 |
|
26 |
25 |
$144.22 |
| 90686 |
|
300 |
298 |
$28.00 |
| 94760 |
|
295 |
272 |
$11.76 |
| 99173 |
|
131 |
129 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 96127 |
|
52 |
52 |
$0.00 |