| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,674 |
1,582 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
407 |
391 |
$43K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
404 |
396 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,567 |
1,042 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$3K |
| 99051 |
|
101 |
98 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
37 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
15 |
$863.68 |
| 99173 |
|
313 |
312 |
$840.85 |
| 0072A |
|
14 |
14 |
$591.50 |
| 92587 |
|
30 |
30 |
$518.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
16 |
$468.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
16 |
$190.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$92.95 |
| 96127 |
|
12 |
12 |
$68.61 |
| 99000 |
|
19 |
18 |
$8.00 |
| 91307 |
|
32 |
31 |
$0.01 |
| 90686 |
|
18 |
18 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |