| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,178 |
1,017 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
472 |
421 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
388 |
342 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
123 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
225 |
211 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
27 |
$366.91 |
| 90461 |
|
28 |
12 |
$14.92 |
| 96127 |
|
31 |
25 |
$0.00 |
| 99173 |
|
18 |
18 |
$0.00 |