| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
574 |
256 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
591 |
315 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
142 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
209 |
103 |
$10K |
| 99000 |
|
380 |
225 |
$8K |
| 0072A |
|
30 |
30 |
$1K |
| 90686 |
|
86 |
80 |
$603.12 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73 |
66 |
$0.00 |