| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
143 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
204 |
203 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
138 |
137 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
70 |
31 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
51 |
$2K |
| 87428 |
|
13 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
33 |
$459.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$178.32 |
| 96127 |
|
13 |
13 |
$153.53 |
| 87081 |
|
13 |
13 |
$101.28 |