| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
642 |
552 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
166 |
157 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
88 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
373 |
366 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
67 |
65 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
36 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$456.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$62.10 |
| 90686 |
|
12 |
12 |
$17.26 |
| 92551 |
|
13 |
13 |
$16.36 |
| 90698 |
|
44 |
44 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |
| 90670 |
|
49 |
49 |
$0.00 |