| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,191 |
935 |
$54K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
42 |
40 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$693.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
44 |
$642.88 |
| 99173 |
|
68 |
38 |
$170.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
12 |
$40.00 |
| 90656 |
|
29 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
12 |
$0.00 |