| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
573 |
503 |
$39K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
109 |
104 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$2K |
| 92551 |
|
111 |
110 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
207 |
101 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$917.14 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
135 |
135 |
$876.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
27 |
$305.24 |
| 99173 |
|
131 |
130 |
$198.21 |
| 96127 |
|
28 |
27 |
$82.70 |
| 3008F |
|
995 |
884 |
$0.00 |
| 3074F |
|
426 |
395 |
$0.00 |
| 1036F |
|
374 |
331 |
$0.00 |
| 3078F |
|
393 |
365 |
$0.00 |
| 1160F |
|
272 |
253 |
$0.00 |
| 1159F |
|
272 |
253 |
$0.00 |