| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
993 |
820 |
$52K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
427 |
382 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
55 |
$2K |
| 99000 |
|
101 |
94 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
80 |
75 |
$439.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$138.38 |
| 92551 |
|
12 |
12 |
$117.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
165 |
156 |
$13.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
35 |
$0.00 |
| 99174 |
|
65 |
65 |
$0.00 |
| 92587 |
|
12 |
12 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |