| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,810 |
2,557 |
$183K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,032 |
1,999 |
$62K |
| 92552 |
|
533 |
532 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
155 |
155 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
112 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
88 |
$7K |
| 99051 |
|
520 |
501 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
19 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
117 |
114 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
190 |
109 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
229 |
226 |
$2K |
| 0072A |
|
22 |
22 |
$880.00 |
| 0071A |
|
12 |
12 |
$480.00 |
| 81002 |
|
230 |
229 |
$447.09 |
| 99072 |
|
1,402 |
1,295 |
$398.75 |
| 36415 |
Collection of venous blood by venipuncture |
453 |
443 |
$376.03 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$338.36 |
| 92551 |
|
24 |
24 |
$255.68 |
| 99177 |
|
12 |
12 |
$126.30 |
| 99173 |
|
24 |
24 |
$59.53 |
| 90686 |
|
64 |
64 |
$35.85 |
| 94760 |
|
13 |
12 |
$24.84 |
| 91307 |
|
15 |
14 |
$0.07 |