| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,262 |
3,230 |
$205K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
253 |
228 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
804 |
587 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
333 |
227 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
198 |
171 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
416 |
180 |
$3K |
| 99051 |
|
472 |
384 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
72 |
61 |
$1K |
| 92551 |
|
323 |
258 |
$1K |
| 86328 |
|
15 |
14 |
$569.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
50 |
$507.42 |
| 90686 |
|
866 |
689 |
$209.34 |
| 99173 |
|
26 |
25 |
$174.80 |
| 90674 |
|
57 |
52 |
$0.00 |
| 99000 |
|
818 |
604 |
$0.00 |