| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,333 |
3,922 |
$414K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,578 |
2,337 |
$148K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
587 |
561 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,473 |
1,420 |
$23K |
| 99215 |
Prolong outpt/office vis |
89 |
82 |
$12K |
| 87400 |
|
563 |
543 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
75 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$1K |
| 90461 |
|
53 |
52 |
$607.10 |
| 87430 |
|
12 |
12 |
$164.04 |
| 90686 |
|
437 |
428 |
$0.00 |
| 90672 |
|
47 |
46 |
$0.00 |