| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,017 |
920 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
597 |
553 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
199 |
199 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
65 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
14 |
$416.26 |
| 96127 |
|
40 |
40 |
$176.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$168.12 |
| 99188 |
|
12 |
12 |
$113.63 |
| 90686 |
|
84 |
83 |
$34.27 |
| 99173 |
|
13 |
13 |
$33.02 |
| 90656 |
|
16 |
16 |
$0.00 |