| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
374 |
364 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
162 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
267 |
267 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20 |
20 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
33 |
$1K |
| 3008F |
|
101 |
101 |
$788.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$296.88 |
| 83655 |
|
12 |
12 |
$180.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$80.24 |
| 92551 |
|
12 |
12 |
$65.04 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$16.40 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
117 |
117 |
$0.00 |
| 94760 |
|
102 |
98 |
$0.00 |
| 99072 |
|
829 |
808 |
$0.00 |