| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,038 |
904 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
318 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
551 |
501 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
383 |
353 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
908 |
812 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
679 |
596 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
221 |
221 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
93 |
$2K |
| 92552 |
|
66 |
66 |
$1K |
| 0071A |
|
14 |
14 |
$901.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
41 |
$796.04 |
| 0001A |
|
18 |
18 |
$728.13 |
| 0072A |
|
14 |
14 |
$580.79 |
| 87807 |
|
38 |
35 |
$101.20 |
| 99173 |
|
24 |
24 |
$42.32 |
| 91307 |
|
30 |
27 |
$0.02 |
| 91300 |
|
21 |
18 |
$0.00 |
| 99072 |
|
68 |
51 |
$0.00 |
| 99000 |
|
48 |
46 |
$0.00 |