| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,229 |
3,362 |
$378K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
977 |
820 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
321 |
288 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
539 |
508 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$718.34 |
| 81002 |
|
595 |
425 |
$287.60 |
| 99188 |
|
16 |
13 |
$0.00 |