| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,177 |
5,361 |
$220K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,805 |
1,605 |
$89K |
| Q3014 |
Telehealth originating site facility fee |
653 |
587 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
28 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
68 |
$939.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$396.16 |
| 99050 |
|
12 |
12 |
$159.42 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
12 |
$138.74 |
| 94760 |
|
151 |
127 |
$116.93 |
| 99173 |
|
42 |
42 |
$65.28 |
| 92551 |
|
12 |
12 |
$45.64 |