| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,631 |
1,429 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
209 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
88 |
77 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
79 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
397 |
355 |
$896.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
39 |
$878.84 |
| 96127 |
|
275 |
255 |
$813.09 |
| 90686 |
|
98 |
93 |
$756.90 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$700.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
328 |
287 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
100 |
95 |
$0.00 |