| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
693 |
604 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
475 |
291 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
222 |
194 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$6K |
| S8301 |
Infection control supplies, not otherwise specified |
346 |
300 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
238 |
218 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
35 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
286 |
104 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
63 |
48 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$2K |
| 99000 |
|
171 |
154 |
$1K |
| 92552 |
|
109 |
108 |
$334.68 |
| 90461 |
|
41 |
35 |
$281.16 |
| 99072 |
|
17 |
17 |
$94.50 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
40 |
40 |
$0.00 |
| 99173 |
|
105 |
104 |
$0.00 |