| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
687 |
633 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
412 |
404 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
97 |
94 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
78 |
$3K |
| 90461 |
|
89 |
87 |
$2K |
| 92551 |
|
145 |
145 |
$1K |
| 90670 |
|
58 |
57 |
$820.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$807.50 |
| 90698 |
|
55 |
54 |
$534.72 |
| 90686 |
|
122 |
121 |
$423.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
24 |
$330.00 |
| 90680 |
|
38 |
37 |
$279.57 |
| 85018 |
|
25 |
25 |
$33.00 |
| 99173 |
|
160 |
160 |
$16.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$0.00 |