| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,386 |
7,493 |
$302K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
613 |
591 |
$31K |
| Q3014 |
Telehealth originating site facility fee |
593 |
572 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
127 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
38 |
$993.86 |
| 99050 |
|
55 |
55 |
$859.04 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$744.27 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
30 |
$487.42 |
| 94060 |
|
27 |
27 |
$260.05 |
| 94726 |
|
27 |
27 |
$246.01 |
| 94729 |
|
27 |
27 |
$146.03 |
| 94200 |
|
27 |
27 |
$59.62 |
| 90686 |
|
13 |
13 |
$0.00 |