| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,632 |
1,372 |
$58K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
181 |
170 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
702 |
278 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
368 |
341 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
291 |
143 |
$3K |
| 90461 |
|
668 |
188 |
$3K |
| 87807 |
|
122 |
115 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
96 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
70 |
$792.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
259 |
250 |
$234.83 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
38 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |