| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
699 |
594 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
177 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
151 |
141 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
119 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
76 |
67 |
$634.92 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
68 |
28 |
$493.92 |
| 99000 |
|
43 |
39 |
$388.80 |
| 99173 |
|
18 |
16 |
$0.00 |
| 90686 |
|
57 |
57 |
$0.00 |
| 99070 |
|
338 |
278 |
$0.00 |
| 92587 |
|
76 |
64 |
$0.00 |
| 96127 |
|
41 |
30 |
$0.00 |