| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
309 |
299 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
593 |
573 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,679 |
2,096 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,967 |
4,560 |
$5K |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
2,899 |
2,836 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
811 |
803 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
496 |
492 |
$2K |
| 90700 |
|
557 |
521 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,523 |
1,514 |
$2K |
| 90686 |
|
538 |
528 |
$1K |
| 97802 |
|
2,817 |
2,763 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
54 |
$1K |
| 0071A |
|
34 |
29 |
$1K |
| 0072A |
|
29 |
28 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
298 |
297 |
$948.64 |
| 90713 |
|
298 |
280 |
$916.75 |
| 90716 |
|
461 |
450 |
$888.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
347 |
330 |
$749.00 |
| 90648 |
|
228 |
215 |
$656.75 |
| 90670 |
|
235 |
214 |
$496.75 |
| 90707 |
|
98 |
94 |
$492.00 |
| 90651 |
|
252 |
249 |
$477.00 |
| 3008F |
|
2,051 |
2,032 |
$404.00 |
| 90734 |
|
101 |
100 |
$143.00 |
| 99215 |
Prolong outpt/office vis |
32 |
32 |
$97.79 |
| 90633 |
|
53 |
53 |
$64.00 |
| 90715 |
|
19 |
19 |
$23.00 |
| 87070 |
|
14 |
14 |
$14.86 |
| 90461 |
|
96 |
85 |
$10.00 |
| 90680 |
|
15 |
14 |
$9.00 |
| 81000 |
|
15 |
15 |
$0.00 |