| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
824 |
693 |
$63K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
152 |
139 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
405 |
345 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
361 |
342 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
127 |
100 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
71 |
$4K |
| 92587 |
|
111 |
103 |
$4K |
| 96161 |
|
169 |
150 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
68 |
54 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
26 |
$572.50 |
| 90480 |
|
18 |
14 |
$560.00 |
| 96127 |
|
26 |
24 |
$513.36 |
| 87428 |
|
16 |
13 |
$433.16 |
| 90473 |
|
12 |
12 |
$210.24 |
| 99051 |
|
16 |
13 |
$121.52 |
| S8301 |
Infection control supplies, not otherwise specified |
468 |
356 |
$66.00 |
| 90686 |
|
153 |
149 |
$59.58 |
| 99072 |
|
217 |
157 |
$0.00 |
| 90672 |
|
15 |
15 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| 91307 |
|
18 |
15 |
$0.00 |