| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,854 |
1,661 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
253 |
253 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
182 |
180 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,074 |
1,006 |
$17K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
232 |
217 |
$11K |
| 95117 |
|
1,017 |
481 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
74 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
283 |
141 |
$4K |
| 90461 |
|
276 |
230 |
$2K |
| 87430 |
|
113 |
110 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
202 |
201 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
94 |
$1K |
| 96160 |
|
278 |
277 |
$272.11 |
| 87449 |
|
25 |
24 |
$256.13 |
| 90473 |
|
22 |
22 |
$157.14 |
| 90686 |
|
748 |
741 |
$0.13 |
| 90672 |
|
27 |
27 |
$0.01 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90651 |
|
43 |
43 |
$0.00 |