| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99173 |
|
54 |
54 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$0.00 |
| 82947 |
|
81 |
80 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
33 |
$0.00 |
| 92579 |
|
48 |
48 |
$0.00 |
| 85014 |
|
111 |
110 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
64 |
$0.00 |
| 82465 |
|
81 |
80 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$0.00 |
| 96160 |
|
199 |
197 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
16 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
199 |
197 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
332 |
315 |
$0.00 |
| 85018 |
|
111 |
110 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 96127 |
|
202 |
200 |
$0.00 |
| 90656 |
|
172 |
172 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |
| 96161 |
|
17 |
17 |
$0.00 |