| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
283 |
256 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 92551 |
|
112 |
108 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$914.65 |
| 99342 |
|
14 |
13 |
$721.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
24 |
$679.14 |
| 90734 |
|
17 |
17 |
$592.30 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
20 |
$565.20 |
| 90651 |
|
15 |
15 |
$412.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
32 |
$410.01 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
84 |
$360.81 |
| 99173 |
|
106 |
102 |
$257.01 |
| 81002 |
|
94 |
92 |
$213.17 |
| 90713 |
|
16 |
16 |
$197.61 |
| 96127 |
|
41 |
38 |
$187.22 |
| 90700 |
|
16 |
16 |
$168.83 |