| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
565 |
488 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
349 |
293 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
257 |
242 |
$2K |
| 97803 |
|
402 |
398 |
$2K |
| 87070 |
|
197 |
185 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
268 |
265 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$475.95 |
| 81002 |
|
245 |
237 |
$452.46 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$258.88 |
| 92015 |
Determination of refractive state |
170 |
170 |
$112.30 |
| 92587 |
|
257 |
256 |
$98.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$56.33 |
| 90686 |
|
83 |
83 |
$44.72 |
| 99000 |
|
301 |
292 |
$0.00 |