| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
553 |
541 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
237 |
235 |
$29K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
87 |
86 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
76 |
76 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$424.59 |
| 96127 |
|
15 |
15 |
$84.49 |
| 92551 |
|
13 |
13 |
$79.14 |
| 90686 |
|
26 |
26 |
$0.00 |