| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
958 |
779 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
590 |
521 |
$30K |
| 87428 |
|
73 |
71 |
$2K |
| 90686 |
|
190 |
184 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
40 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
78 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$934.24 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
351 |
332 |
$445.64 |
| 90656 |
|
30 |
30 |
$403.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$332.64 |
| 99000 |
|
102 |
90 |
$313.88 |
| 92558 |
|
12 |
12 |
$79.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$13.60 |
| 94760 |
|
14 |
13 |
$8.02 |
| 99072 |
|
267 |
246 |
$0.00 |