| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
731 |
509 |
$21K |
| S8301 |
Infection control supplies, not otherwise specified |
243 |
216 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
107 |
97 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
159 |
152 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
29 |
$750.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
18 |
$47.04 |
| 90656 |
|
13 |
13 |
$0.00 |