| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,844 |
1,650 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
534 |
477 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
149 |
138 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
89 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
172 |
153 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
62 |
$6K |
| 87428 |
|
59 |
56 |
$4K |
| 90686 |
|
259 |
241 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
64 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$595.40 |
| 90656 |
|
28 |
26 |
$440.72 |
| 90734 |
|
18 |
12 |
$288.33 |
| 90710 |
|
16 |
13 |
$259.06 |
| 90696 |
|
16 |
13 |
$259.06 |
| 90648 |
|
13 |
12 |
$163.28 |