| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,715 |
2,181 |
$195K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
798 |
720 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
65 |
63 |
$2K |
| 92587 |
|
44 |
43 |
$1K |
| 81000 |
|
194 |
190 |
$658.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
42 |
$208.41 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$200.64 |
| 36415 |
Collection of venous blood by venipuncture |
445 |
430 |
$194.56 |
| 90686 |
|
92 |
92 |
$188.36 |
| 99173 |
|
197 |
193 |
$117.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
38 |
$99.18 |
| 99000 |
|
1,188 |
1,079 |
$0.00 |