| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,561 |
2,162 |
$91K |
| 86328 |
|
522 |
479 |
$44K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
479 |
450 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
803 |
725 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,616 |
1,451 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
802 |
393 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
217 |
203 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 97802 |
|
855 |
428 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
89 |
41 |
$687.62 |
| 92551 |
|
41 |
41 |
$326.04 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$129.61 |
| 96160 |
|
13 |
13 |
$28.80 |
| 36416 |
|
411 |
355 |
$0.00 |
| 99173 |
|
41 |
41 |
$0.00 |