| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,688 |
3,237 |
$243K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,612 |
1,578 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
255 |
255 |
$21K |
| 92552 |
|
777 |
777 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
186 |
186 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
111 |
111 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
101 |
101 |
$8K |
| 90461 |
|
138 |
138 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
136 |
133 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
85 |
$1K |
| 90688 |
|
125 |
125 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
17 |
$757.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
49 |
$384.66 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
15 |
$62.23 |
| 99000 |
|
14 |
13 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |