| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,296 |
1,936 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
806 |
755 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
280 |
267 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
90 |
88 |
$4K |
| 90461 |
|
193 |
187 |
$4K |
| 92551 |
|
227 |
220 |
$2K |
| 90674 |
|
111 |
100 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
41 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$2K |
| 92552 |
|
111 |
107 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
92 |
$1K |
| 99173 |
|
497 |
470 |
$782.44 |
| 99383 |
|
14 |
13 |
$573.97 |
| 96127 |
|
202 |
197 |
$539.93 |
| 90686 |
|
255 |
227 |
$200.00 |
| 3008F |
|
255 |
238 |
$38.00 |
| 90633 |
|
85 |
61 |
$36.02 |
| 97802 |
|
90 |
82 |
$22.50 |
| 36416 |
|
52 |
48 |
$15.44 |
| 90656 |
|
121 |
121 |
$0.08 |
| 90670 |
|
35 |
25 |
$0.00 |