| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,150 |
1,007 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
392 |
381 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$884.88 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
44 |
42 |
$527.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
27 |
$369.63 |
| 94760 |
|
639 |
547 |
$329.90 |
| 99177 |
|
67 |
66 |
$0.00 |
| 90686 |
|
206 |
206 |
$0.00 |