| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,983 |
1,689 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,562 |
1,352 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
817 |
711 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,011 |
528 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
362 |
153 |
$3K |
| 87999 |
|
1,396 |
948 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$432.45 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
18 |
$320.00 |
| 90686 |
|
58 |
58 |
$180.74 |
| 90461 |
|
33 |
26 |
$175.00 |
| 99173 |
|
392 |
370 |
$0.00 |