| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,644 |
2,233 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,314 |
1,189 |
$155K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
337 |
316 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,064 |
1,051 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
246 |
239 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
65 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$6K |
| 92551 |
|
790 |
790 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
163 |
77 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
98 |
96 |
$2K |
| 81002 |
|
1,010 |
999 |
$2K |
| 0240U |
|
12 |
12 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
204 |
189 |
$769.04 |
| 90686 |
|
332 |
332 |
$229.31 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
40 |
$142.40 |
| 36415 |
Collection of venous blood by venipuncture |
156 |
148 |
$74.37 |
| 99173 |
|
822 |
821 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| 99000 |
|
1,836 |
1,689 |
$0.00 |