| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
749 |
741 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,026 |
1,022 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,014 |
1,875 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
961 |
915 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
871 |
864 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
702 |
701 |
$63K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,940 |
1,878 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,745 |
2,477 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
760 |
743 |
$38K |
| 90461 |
|
3,478 |
1,502 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
428 |
421 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,334 |
1,033 |
$11K |
| 87631 |
|
63 |
62 |
$7K |
| 99383 |
|
50 |
50 |
$4K |
| 0072A |
|
55 |
55 |
$2K |
| 0071A |
|
53 |
52 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 96160 |
|
597 |
596 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
25 |
$995.06 |
| 0002A |
|
15 |
15 |
$600.00 |
| 0001A |
|
15 |
15 |
$600.00 |
| 91307 |
|
118 |
106 |
$0.71 |
| 90697 |
|
88 |
88 |
$0.42 |
| 91300 |
|
30 |
30 |
$0.15 |
| 90648 |
|
592 |
590 |
$0.00 |
| 90633 |
|
225 |
225 |
$0.00 |
| 90670 |
|
778 |
776 |
$0.00 |
| 90734 |
|
112 |
112 |
$0.00 |
| 90710 |
|
203 |
201 |
$0.00 |
| 90715 |
|
66 |
66 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90686 |
|
644 |
643 |
$0.00 |
| 90680 |
|
324 |
324 |
$0.00 |
| 90723 |
|
359 |
359 |
$0.00 |
| 90651 |
|
45 |
45 |
$0.00 |
| 90696 |
|
37 |
37 |
$0.00 |