| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
500 |
479 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
98 |
98 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$620.70 |
| 97802 |
|
24 |
24 |
$487.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
36 |
$251.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$193.50 |
| 87430 |
|
15 |
12 |
$85.28 |