| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,129 |
1,709 |
$172K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,036 |
3,704 |
$164K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,096 |
4,713 |
$104K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,280 |
5,570 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,352 |
1,154 |
$71K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,502 |
3,209 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,989 |
2,780 |
$13K |
| 87807 |
|
854 |
787 |
$9K |
| 81002 |
|
3,083 |
2,831 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
50 |
$5K |
| 90658 |
|
275 |
266 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
32 |
32 |
$2K |
| 0011A |
|
33 |
28 |
$1K |
| 80305 |
|
131 |
125 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
184 |
149 |
$948.23 |
| 0012A |
|
23 |
23 |
$920.00 |
| 81003 |
|
395 |
328 |
$918.56 |
| 93000 |
|
62 |
51 |
$865.07 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$836.02 |
| 90686 |
|
39 |
39 |
$654.75 |
| 90656 |
|
53 |
39 |
$568.65 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
27 |
$288.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$143.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
29 |
$48.00 |
| 81025 |
|
16 |
15 |
$36.00 |
| 91301 |
|
99 |
92 |
$0.00 |