| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
638 |
549 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
179 |
154 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
359 |
318 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
81 |
36 |
$893.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
27 |
$695.94 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
15 |
$633.71 |
| 99000 |
|
21 |
18 |
$205.20 |
| 90686 |
|
30 |
30 |
$0.01 |