| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
676 |
501 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
422 |
156 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
80 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
113 |
104 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
357 |
145 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
44 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
208 |
156 |
$1K |
| 96127 |
|
217 |
170 |
$788.75 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
22 |
$553.40 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
34 |
16 |
$458.83 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$305.71 |
| 87807 |
|
39 |
35 |
$292.34 |
| 92587 |
|
17 |
14 |
$260.94 |
| 96161 |
|
34 |
31 |
$94.82 |
| 99177 |
|
16 |
14 |
$71.60 |
| 90461 |
|
112 |
90 |
$23.00 |
| 90677 |
|
31 |
28 |
$0.03 |
| 90647 |
|
16 |
14 |
$0.00 |
| 90723 |
|
32 |
29 |
$0.00 |