| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,072 |
1,173 |
$137K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
424 |
379 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
340 |
279 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
63 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
37 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
492 |
439 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
320 |
300 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
116 |
115 |
$993.20 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
40 |
35 |
$706.04 |
| 99441 |
|
632 |
501 |
$255.22 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
12 |
12 |
$204.49 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$185.70 |
| 97802 |
|
227 |
218 |
$163.44 |
| 99401 |
|
39 |
30 |
$114.60 |
| 99442 |
|
33 |
31 |
$67.16 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
14 |
12 |
$18.06 |
| 36415 |
Collection of venous blood by venipuncture |
79 |
76 |
$15.88 |
| 81002 |
|
12 |
12 |
$10.92 |
| 94760 |
|
47 |
40 |
$9.40 |
| A4927 |
Gloves, non-sterile, per 100 |
66 |
55 |
$0.20 |
| A4928 |
Surgical mask, per 20 |
34 |
28 |
$0.00 |
| 99000 |
|
706 |
598 |
$0.00 |