| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,642 |
1,391 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
597 |
387 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
119 |
97 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
125 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
19 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
116 |
55 |
$2K |
| 97169 |
|
28 |
28 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
22 |
$751.20 |
| 87810 |
|
18 |
17 |
$533.52 |
| 90672 |
|
19 |
18 |
$360.00 |
| 90685 |
|
66 |
66 |
$288.75 |
| 90686 |
|
130 |
129 |
$243.25 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33 |
31 |
$208.96 |
| 92552 |
|
13 |
12 |
$26.38 |