| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
520 |
426 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
216 |
171 |
$12K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
22 |
20 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
75 |
70 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$167.83 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
14 |
$110.37 |