| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
391 |
281 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150 |
128 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
96 |
86 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
321 |
146 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
54 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
12 |
$741.78 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$697.75 |
| 92551 |
|
49 |
39 |
$192.41 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$166.68 |
| 99000 |
|
14 |
13 |
$83.79 |
| 90461 |
|
20 |
13 |
$21.13 |
| 99173 |
|
51 |
39 |
$0.00 |
| 90656 |
|
57 |
52 |
$0.00 |