| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,942 |
1,261 |
$62K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
194 |
156 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
506 |
384 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
338 |
217 |
$3K |
| 92552 |
|
365 |
237 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
51 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
144 |
75 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
60 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
135 |
81 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
346 |
208 |
$2K |
| 90670 |
|
96 |
55 |
$672.86 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
72 |
47 |
$586.10 |
| 90461 |
|
215 |
111 |
$379.40 |
| 99188 |
|
62 |
28 |
$364.00 |
| 90651 |
|
54 |
29 |
$220.00 |
| 99173 |
|
397 |
226 |
$160.00 |
| 90633 |
|
74 |
40 |
$147.98 |
| 97802 |
|
385 |
228 |
$71.55 |
| 90744 |
|
61 |
35 |
$27.36 |
| 90698 |
|
63 |
38 |
$0.00 |
| 90680 |
|
54 |
34 |
$0.00 |
| 90686 |
|
13 |
12 |
$0.00 |
| 90716 |
|
43 |
18 |
$0.00 |
| 3008F |
|
400 |
233 |
$0.00 |
| 90696 |
|
18 |
13 |
$0.00 |
| 90710 |
|
28 |
17 |
$0.00 |