| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
838 |
726 |
$29K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
756 |
656 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
504 |
424 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
977 |
459 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
160 |
$8K |
| 90677 |
|
65 |
62 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
111 |
96 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
101 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
329 |
289 |
$4K |
| 99358 |
Prolong nursin fac eval 15m |
99 |
88 |
$4K |
| 99429 |
|
118 |
107 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
492 |
412 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
25 |
$2K |
| 92551 |
|
200 |
180 |
$1K |
| 87807 |
|
91 |
81 |
$931.56 |
| 90461 |
|
284 |
219 |
$161.14 |
| 99188 |
|
147 |
122 |
$126.00 |
| 99402 |
|
21 |
15 |
$105.00 |
| 99173 |
|
192 |
167 |
$0.00 |
| 90686 |
|
110 |
108 |
$0.00 |
| 90698 |
|
18 |
14 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |
| 90680 |
|
18 |
14 |
$0.00 |