| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
38 |
36 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
28 |
$676.08 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
137 |
128 |
$647.98 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
13 |
$402.35 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
36 |
36 |
$326.29 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22 |
14 |
$91.25 |