| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,714 |
5,531 |
$522K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
345 |
340 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,071 |
2,786 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
222 |
221 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
508 |
488 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
74 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
70 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
386 |
258 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
44 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
59 |
$2K |
| 90461 |
|
144 |
139 |
$2K |
| 90677 |
|
12 |
12 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
42 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
50 |
43 |
$213.23 |
| 90710 |
|
12 |
12 |
$0.00 |
| 1220F |
|
109 |
109 |
$0.00 |
| 88738 |
|
111 |
111 |
$0.00 |
| 99000 |
|
54 |
51 |
$0.00 |