| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,785 |
2,218 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,440 |
503 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
115 |
111 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
109 |
100 |
$9K |
| 90461 |
|
290 |
241 |
$2K |
| 87428 |
|
41 |
28 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
114 |
87 |
$2K |
| 81003 |
|
491 |
331 |
$859.50 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
26 |
$755.22 |
| S8301 |
Infection control supplies, not otherwise specified |
25 |
25 |
$300.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
13 |
$170.84 |
| 90670 |
|
97 |
93 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
242 |
208 |
$0.00 |
| 99072 |
|
23 |
17 |
$0.00 |
| 90680 |
|
26 |
24 |
$0.00 |
| 90698 |
|
13 |
12 |
$0.00 |
| 90677 |
|
13 |
12 |
$0.00 |