| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,285 |
1,819 |
$79K |
| S8301 |
Infection control supplies, not otherwise specified |
2,575 |
1,890 |
$71K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
762 |
672 |
$36K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
189 |
174 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,864 |
1,617 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
806 |
699 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
330 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,900 |
854 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
377 |
343 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
154 |
139 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
251 |
230 |
$10K |
| 92567 |
|
662 |
573 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
84 |
80 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
812 |
744 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
250 |
115 |
$3K |
| 87428 |
|
68 |
67 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
27 |
$2K |
| 99429 |
|
59 |
57 |
$2K |
| 90461 |
|
142 |
120 |
$1K |
| 0002A |
|
13 |
13 |
$520.00 |
| 0071A |
|
21 |
13 |
$480.00 |
| 81002 |
|
41 |
40 |
$127.30 |
| 91300 |
|
20 |
14 |
$40.00 |
| 90686 |
|
488 |
462 |
$0.20 |
| 90670 |
|
80 |
79 |
$0.01 |
| 90648 |
|
27 |
27 |
$0.00 |