| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,911 |
1,677 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
260 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
477 |
432 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
200 |
193 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
99 |
97 |
$7K |
| 86328 |
|
64 |
60 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
64 |
64 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
46 |
$939.86 |
| 97802 |
|
573 |
478 |
$853.78 |
| 96160 |
|
164 |
149 |
$502.53 |
| 99173 |
|
565 |
509 |
$199.79 |
| 94760 |
|
69 |
51 |
$131.70 |
| 92551 |
|
147 |
142 |
$51.83 |
| 90461 |
|
47 |
42 |
$0.00 |
| 90670 |
|
41 |
40 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 99000 |
|
210 |
185 |
$0.00 |
| 36416 |
|
15 |
14 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |
| 86769 |
|
18 |
13 |
$0.00 |