| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
113 |
106 |
$1K |
| 97810 |
|
77 |
60 |
$374.86 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,549 |
5,734 |
$350.08 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
525 |
521 |
$56.03 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
639 |
601 |
$37.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
283 |
263 |
$34.77 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$34.30 |
| 82947 |
|
83 |
82 |
$3.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,067 |
949 |
$0.00 |
| 99173 |
|
367 |
367 |
$0.00 |
| 99401 |
|
394 |
391 |
$0.00 |
| 3078F |
|
107 |
99 |
$0.00 |
| 98940 |
|
224 |
157 |
$0.00 |
| 97803 |
|
163 |
161 |
$0.00 |
| 3077F |
|
280 |
226 |
$0.00 |
| 92552 |
|
240 |
239 |
$0.00 |
| 81002 |
|
71 |
71 |
$0.00 |
| 88147 |
|
23 |
23 |
$0.00 |
| 81025 |
|
15 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 0012A |
|
55 |
55 |
$0.00 |
| 97802 |
|
56 |
56 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
156 |
156 |
$0.00 |
| 85018 |
|
297 |
296 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
393 |
390 |
$0.00 |
| 3080F |
|
117 |
91 |
$0.00 |
| 90686 |
|
134 |
134 |
$0.00 |
| 3079F |
|
67 |
63 |
$0.00 |
| 99383 |
|
14 |
14 |
$0.00 |
| 0011A |
|
41 |
41 |
$0.00 |
| 90674 |
|
31 |
31 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |