| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,839 |
5,432 |
$514K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
210 |
201 |
$74K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
445 |
412 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,081 |
872 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
163 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
170 |
151 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
68 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
41 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
180 |
118 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
73 |
34 |
$400.75 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
14 |
$55.52 |
| 90686 |
|
436 |
390 |
$0.00 |
| 90651 |
|
16 |
13 |
$0.00 |
| 99000 |
|
16 |
14 |
$0.00 |
| 90656 |
|
52 |
52 |
$0.00 |