| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,310 |
1,227 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,757 |
1,605 |
$104K |
| 99215 |
Prolong outpt/office vis |
483 |
465 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
370 |
368 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
357 |
355 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
798 |
730 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
291 |
270 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
189 |
188 |
$18K |
| 99441 |
|
323 |
308 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
525 |
509 |
$7K |
| 92551 |
|
470 |
468 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
32 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
173 |
168 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 99173 |
|
398 |
397 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 90677 |
|
80 |
72 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
20 |
$829.14 |
| 87807 |
|
68 |
68 |
$766.34 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$477.48 |
| 90633 |
|
12 |
12 |
$0.00 |