| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$586.74 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
41 |
$0.00 |
| 36416 |
|
31 |
28 |
$0.00 |
| 87807 |
|
30 |
30 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20 |
17 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
324 |
294 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$0.00 |