| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
54 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
138 |
134 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
133 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
103 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
147 |
142 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
40 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
35 |
$847.00 |
| 90710 |
|
19 |
19 |
$612.94 |
| 87807 |
|
57 |
56 |
$565.92 |
| 90670 |
|
61 |
61 |
$484.20 |
| 90698 |
|
12 |
12 |
$468.84 |
| 90697 |
|
13 |
13 |
$418.60 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$314.60 |
| 90633 |
|
19 |
19 |
$153.33 |