| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,077 |
1,029 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,362 |
2,166 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
581 |
574 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,414 |
1,326 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
465 |
456 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,887 |
2,818 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
284 |
277 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,198 |
1,321 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,680 |
1,602 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
214 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 97802 |
|
1,587 |
1,574 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
169 |
123 |
$1K |
| 96160 |
|
764 |
750 |
$1K |
| 87807 |
|
93 |
89 |
$614.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
72 |
$291.90 |
| 90619 |
|
243 |
238 |
$1.94 |
| 90686 |
|
882 |
864 |
$0.25 |
| 90671 |
|
26 |
26 |
$0.23 |
| 90734 |
|
273 |
267 |
$0.04 |
| 90710 |
|
175 |
171 |
$0.03 |
| 90715 |
|
244 |
238 |
$0.03 |
| 90633 |
|
132 |
128 |
$0.03 |
| 90651 |
|
120 |
119 |
$0.01 |
| 90696 |
|
145 |
142 |
$0.00 |
| 90620 |
|
27 |
26 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90670 |
|
118 |
117 |
$0.00 |
| 90648 |
|
30 |
29 |
$0.00 |