| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,609 |
1,206 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
124 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
151 |
52 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
68 |
57 |
$338.69 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
91 |
39 |
$154.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
28 |
$80.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
190 |
39 |
$48.36 |
| 87081 |
|
23 |
12 |
$5.60 |
| 90686 |
|
40 |
25 |
$0.00 |