| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,000 |
840 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
687 |
597 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
71 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
61 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
307 |
275 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
39 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
77 |
73 |
$3K |
| 96127 |
|
154 |
137 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
41 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 99173 |
|
113 |
96 |
$834.40 |
| 92551 |
|
29 |
26 |
$424.78 |
| 90734 |
|
16 |
14 |
$102.40 |
| 99051 |
|
31 |
19 |
$90.00 |
| 4120F |
|
13 |
13 |
$0.00 |
| 3210F |
|
31 |
29 |
$0.00 |
| 1003F |
|
226 |
187 |
$0.00 |
| 3725F |
|
76 |
57 |
$0.00 |
| 1036F |
|
107 |
85 |
$0.00 |