| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,008 |
1,662 |
$73K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
400 |
382 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
416 |
407 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84 |
79 |
$4K |
| 87428 |
|
16 |
16 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
26 |
$750.60 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$159.31 |
| 90686 |
|
76 |
75 |
$17.52 |
| 90658 |
|
12 |
12 |
$0.00 |