| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,679 |
1,561 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,808 |
1,662 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
882 |
824 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
759 |
697 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
658 |
608 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
753 |
367 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
13 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
54 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
38 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
17 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
42 |
$820.42 |
| 90461 |
|
104 |
67 |
$437.10 |
| CP002 |
|
16 |
15 |
$160.00 |
| 97802 |
|
1,527 |
1,383 |
$60.72 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
68 |
63 |
$50.00 |
| 96161 |
|
99 |
54 |
$11.49 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
657 |
603 |
$0.00 |
| 96146 |
|
45 |
41 |
$0.00 |
| 90686 |
|
31 |
30 |
$0.00 |
| 90680 |
|
41 |
27 |
$0.00 |
| 1033F |
|
2,301 |
2,032 |
$0.00 |
| 90670 |
|
50 |
36 |
$0.00 |
| 97803 |
|
448 |
407 |
$0.00 |
| 1032F |
|
745 |
665 |
$0.00 |
| 99072 |
|
3,207 |
2,831 |
$0.00 |
| 99401 |
|
547 |
498 |
$0.00 |
| 96160 |
|
122 |
117 |
$0.00 |
| 90672 |
|
119 |
113 |
$0.00 |