| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,022 |
1,763 |
$73K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
211 |
197 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
600 |
296 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
299 |
281 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
297 |
131 |
$4K |
| 92552 |
|
262 |
262 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87400 |
|
28 |
13 |
$287.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$180.18 |
| 92551 |
|
16 |
15 |
$122.21 |
| 90686 |
|
195 |
194 |
$0.01 |
| 90656 |
|
13 |
13 |
$0.00 |
| 99173 |
|
279 |
278 |
$0.00 |