| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,195 |
1,906 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
450 |
398 |
$40K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
898 |
790 |
$39K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
357 |
285 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
206 |
152 |
$15K |
| 99000 |
|
343 |
264 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
27 |
$3K |
| 90686 |
|
89 |
83 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 96127 |
|
32 |
24 |
$715.40 |
| 92551 |
|
29 |
28 |
$440.80 |
| 1003F |
|
271 |
198 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
201 |
163 |
$0.00 |