| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,241 |
1,833 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
253 |
245 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
95 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
66 |
59 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
83 |
73 |
$834.84 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
182 |
144 |
$506.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$69.87 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
20 |
20 |
$41.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$26.92 |
| 90461 |
|
63 |
48 |
$24.00 |
| 92551 |
|
149 |
130 |
$14.53 |
| 97802 |
|
13 |
13 |
$0.00 |
| 99384 |
|
14 |
13 |
$0.00 |
| 99383 |
|
21 |
13 |
$0.00 |
| 99173 |
|
142 |
108 |
$0.00 |