| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,214 |
4,626 |
$337K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,795 |
2,596 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
416 |
390 |
$42K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
293 |
134 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
192 |
188 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
370 |
325 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
99 |
$10K |
| 99173 |
|
1,195 |
1,119 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
40 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
88 |
83 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 96127 |
|
85 |
53 |
$1K |
| 90686 |
|
978 |
937 |
$228.03 |
| 81002 |
|
34 |
34 |
$2.44 |
| 85018 |
|
46 |
45 |
$2.26 |
| 90685 |
|
16 |
16 |
$0.02 |
| 99072 |
|
111 |
105 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |