| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,064 |
939 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
174 |
172 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
190 |
183 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
306 |
264 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
437 |
391 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
447 |
412 |
$7K |
| 99000 |
|
389 |
346 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
362 |
171 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
97 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
40 |
38 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$1K |
| 90461 |
|
18 |
15 |
$105.36 |
| S8301 |
Infection control supplies, not otherwise specified |
30 |
27 |
$15.00 |
| 99072 |
|
30 |
30 |
$0.00 |
| 99173 |
|
55 |
54 |
$0.00 |
| 92552 |
|
57 |
56 |
$0.00 |