| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
503 |
485 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
141 |
141 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
488 |
234 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
87 |
86 |
$4K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
34 |
34 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
68 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
49 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
113 |
111 |
$3K |
| 99173 |
|
128 |
128 |
$317.50 |
| 92551 |
|
12 |
12 |
$88.08 |
| 90677 |
|
64 |
64 |
$0.13 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 90697 |
|
15 |
15 |
$0.00 |
| 94760 |
|
16 |
16 |
$0.00 |