| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,447 |
2,329 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
844 |
792 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
911 |
625 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
140 |
135 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
111 |
107 |
$1K |
| 96127 |
|
212 |
182 |
$757.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$338.44 |
| 99177 |
|
29 |
29 |
$275.60 |
| 99173 |
|
39 |
37 |
$5.32 |
| 90686 |
|
252 |
246 |
$4.76 |
| 99072 |
|
185 |
175 |
$0.00 |