| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,776 |
1,072 |
$77K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
755 |
342 |
$39K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
382 |
193 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
186 |
104 |
$13K |
| 99000 |
|
537 |
288 |
$11K |
| 0072A |
|
41 |
40 |
$2K |
| 0071A |
|
18 |
17 |
$716.38 |
| 90686 |
|
48 |
41 |
$393.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
46 |
$0.00 |
| 1003F |
|
28 |
14 |
$0.00 |