| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,917 |
3,148 |
$197K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
213 |
209 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
72 |
$5K |
| 90686 |
|
456 |
399 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
47 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
34 |
32 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
46 |
42 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
173 |
83 |
$775.67 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
21 |
19 |
$502.46 |
| 90661 |
|
19 |
19 |
$241.85 |
| 90660 |
|
13 |
13 |
$208.57 |
| 90670 |
|
16 |
12 |
$132.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$55.68 |