| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,305 |
1,527 |
$153K |
| 87428 |
|
542 |
441 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
703 |
539 |
$7K |
| 87807 |
|
577 |
459 |
$5K |
| 90686 |
|
423 |
257 |
$4K |
| 92551 |
|
504 |
362 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
25 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
42 |
25 |
$1K |
| W7010 |
|
49 |
47 |
$787.98 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$718.34 |
| 90656 |
|
14 |
14 |
$325.92 |
| 96127 |
|
49 |
47 |
$216.66 |
| 99173 |
|
105 |
87 |
$215.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
13 |
$185.36 |
| 96160 |
|
72 |
63 |
$141.27 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
26 |
$106.32 |
| 99072 |
|
54 |
40 |
$0.00 |