| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
176 |
164 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
96 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
79 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
80 |
79 |
$807.20 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
13 |
13 |
$520.13 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$480.12 |
| 90461 |
|
43 |
43 |
$433.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$177.71 |
| 85018 |
|
60 |
60 |
$113.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$68.28 |