| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
629 |
566 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
784 |
700 |
$26K |
| 99215 |
Prolong outpt/office vis |
353 |
299 |
$25K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
160 |
149 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
74 |
$2K |
| 90686 |
|
115 |
111 |
$533.70 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
213 |
208 |
$510.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$139.44 |
| 99173 |
|
54 |
49 |
$0.00 |
| 92551 |
|
81 |
76 |
$0.00 |