| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
77 |
$6K |
| 97802 |
|
85 |
85 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
70 |
70 |
$2K |
| 92587 |
|
86 |
86 |
$2K |
| 0001A |
|
29 |
29 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
26 |
$903.83 |
| 0072A |
|
16 |
16 |
$668.32 |
| 0003A |
|
16 |
16 |
$661.24 |
| 91307 |
|
24 |
21 |
$0.24 |
| 90677 |
|
13 |
13 |
$0.13 |
| 91308 |
|
13 |
13 |
$0.13 |
| 91300 |
|
12 |
12 |
$0.12 |
| 99000 |
|
109 |
109 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
82 |
82 |
$0.00 |
| 90686 |
|
28 |
28 |
$0.00 |
| 99173 |
|
72 |
72 |
$0.00 |