| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
699 |
604 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
100 |
100 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
44 |
44 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
197 |
184 |
$1K |
| 94760 |
|
272 |
258 |
$311.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
14 |
$171.20 |
| 99072 |
|
104 |
92 |
$0.00 |