| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
822 |
765 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
200 |
185 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
28 |
$731.37 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
16 |
$620.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$167.57 |
| 90686 |
|
28 |
27 |
$0.00 |
| 99072 |
|
68 |
62 |
$0.00 |