| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,131 |
1,073 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,280 |
2,252 |
$52K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
227 |
26 |
$43K |
| 99188 |
|
1,688 |
1,678 |
$29K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,540 |
1,440 |
$20K |
| 85018 |
|
3,231 |
3,210 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
510 |
498 |
$15K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
41 |
41 |
$9K |
| 90671 |
|
30 |
29 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
82 |
82 |
$7K |
| 95117 |
|
664 |
266 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
63 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
51 |
49 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
48 |
48 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
730 |
671 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
133 |
133 |
$3K |
| 90619 |
|
17 |
17 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
643 |
619 |
$2K |
| 90700 |
|
101 |
100 |
$1K |
| 0071A |
|
25 |
25 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
219 |
216 |
$831.43 |
| 0072A |
|
20 |
20 |
$761.62 |
| 0002A |
|
14 |
14 |
$560.00 |
| 81003 |
|
440 |
435 |
$433.09 |
| 83655 |
|
79 |
77 |
$160.53 |
| 90680 |
|
23 |
23 |
$140.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
219 |
212 |
$121.94 |
| 90713 |
|
72 |
71 |
$110.00 |
| 87807 |
|
79 |
76 |
$95.21 |
| 90670 |
|
78 |
78 |
$60.00 |
| 90648 |
|
78 |
78 |
$60.00 |
| 97802 |
|
299 |
296 |
$57.00 |
| 90620 |
|
23 |
22 |
$50.00 |
| 90651 |
|
36 |
35 |
$50.00 |
| 90633 |
|
19 |
19 |
$45.00 |
| 90658 |
|
16 |
16 |
$40.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
183 |
177 |
$30.16 |
| 90707 |
|
32 |
31 |
$30.00 |
| 90744 |
|
38 |
38 |
$20.00 |
| 90734 |
|
31 |
30 |
$20.00 |
| 92551 |
|
423 |
409 |
$0.81 |
| 90716 |
|
35 |
34 |
$0.00 |
| 99173 |
|
427 |
413 |
$0.00 |