| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,596 |
4,847 |
$200K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
835 |
777 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,222 |
2,058 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,314 |
520 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
113 |
108 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
76 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
60 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
227 |
133 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
43 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
37 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
71 |
$576.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
30 |
$366.27 |
| 90688 |
|
27 |
27 |
$253.68 |
| 90687 |
|
54 |
53 |
$105.56 |
| 90686 |
|
13 |
13 |
$78.00 |
| 90723 |
|
38 |
35 |
$0.00 |
| 90716 |
|
18 |
18 |
$0.00 |
| 90680 |
|
32 |
29 |
$0.00 |
| 90670 |
|
48 |
45 |
$0.00 |
| 90648 |
|
48 |
45 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |