| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
249 |
214 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
127 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
18 |
16 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
80 |
78 |
$921.53 |
| 96127 |
|
14 |
14 |
$150.40 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$113.19 |
| 92551 |
|
14 |
14 |
$110.35 |
| 81000 |
|
25 |
24 |
$83.48 |
| 99173 |
|
15 |
15 |
$0.00 |