| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,121 |
948 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
155 |
148 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
344 |
182 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
348 |
150 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
174 |
169 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
233 |
203 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
73 |
$1K |
| 90461 |
|
367 |
111 |
$781.64 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$712.50 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
70 |
$661.50 |
| 87807 |
|
50 |
45 |
$263.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
164 |
158 |
$100.22 |
| 90670 |
|
28 |
28 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |