| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
119 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
149 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
59 |
58 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
74 |
73 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
148 |
73 |
$970.14 |
| 99442 |
|
22 |
22 |
$256.08 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$32.00 |
| 97802 |
|
49 |
34 |
$0.00 |