| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,320 |
2,105 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
580 |
518 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,116 |
1,057 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
100 |
89 |
$5K |
| 96127 |
|
187 |
174 |
$3K |
| 99173 |
|
405 |
385 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
159 |
123 |
$1K |
| 0072A |
|
12 |
12 |
$480.00 |
| 0071A |
|
12 |
12 |
$440.00 |
| 96160 |
|
16 |
15 |
$287.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
25 |
$275.99 |
| 90686 |
|
705 |
675 |
$82.60 |
| 90656 |
|
55 |
45 |
$22.35 |
| 99072 |
|
201 |
181 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 91307 |
|
34 |
33 |
$0.00 |