| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,913 |
1,600 |
$135K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
810 |
673 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
697 |
688 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
58 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
63 |
56 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
60 |
$3K |
| 99051 |
|
174 |
169 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
67 |
62 |
$2K |
| 96127 |
|
342 |
342 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
37 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$643.95 |
| 0072A |
|
12 |
12 |
$480.00 |
| 0071A |
|
12 |
12 |
$440.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$108.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$45.00 |
| 99173 |
|
381 |
379 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |