| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,320 |
1,061 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
339 |
256 |
$1K |
| 87428 |
|
66 |
63 |
$640.03 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
28 |
$616.07 |
| 97802 |
|
86 |
84 |
$516.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
146 |
133 |
$381.91 |
| 90686 |
|
50 |
50 |
$255.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$40.56 |