| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,993 |
2,464 |
$208K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
718 |
653 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
993 |
911 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
614 |
563 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
49 |
48 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
124 |
117 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46 |
46 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$531.86 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$476.84 |
| 87428 |
|
13 |
13 |
$382.07 |