| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,888 |
6,346 |
$263K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,465 |
1,355 |
$86K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,865 |
1,778 |
$60K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
505 |
491 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,171 |
728 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
497 |
472 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
624 |
599 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
78 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
353 |
201 |
$5K |
| 90686 |
|
128 |
126 |
$2K |
| 87081 |
|
247 |
237 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$797.33 |
| 90461 |
|
12 |
12 |
$352.80 |
| 99174 |
|
12 |
12 |
$263.16 |
| 96127 |
|
26 |
25 |
$119.66 |
| 85018 |
|
14 |
14 |
$33.18 |
| 81003 |
|
49 |
48 |
$5.59 |
| 94760 |
|
15 |
13 |
$0.00 |