| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,213 |
1,030 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
640 |
580 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
472 |
222 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
45 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
42 |
42 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
111 |
108 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99173 |
|
230 |
210 |
$482.93 |
| 81002 |
|
221 |
200 |
$478.44 |
| 90686 |
|
576 |
287 |
$295.00 |
| 96127 |
|
24 |
12 |
$56.40 |