| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,340 |
2,942 |
$124K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,186 |
1,111 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,942 |
1,848 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,876 |
1,108 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
361 |
348 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
441 |
249 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
265 |
263 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
219 |
217 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
112 |
108 |
$4K |
| 92551 |
|
93 |
93 |
$0.16 |
| 90688 |
|
77 |
77 |
$0.01 |
| 90648 |
|
215 |
213 |
$0.00 |
| 99173 |
|
170 |
170 |
$0.00 |
| 90670 |
|
219 |
214 |
$0.00 |
| 90685 |
|
27 |
27 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90707 |
|
39 |
39 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90680 |
|
103 |
102 |
$0.00 |
| 90723 |
|
168 |
166 |
$0.00 |
| 90686 |
|
59 |
59 |
$0.00 |
| 90716 |
|
40 |
40 |
$0.00 |
| 90651 |
|
31 |
31 |
$0.00 |