| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,112 |
1,046 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
631 |
577 |
$51K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
524 |
480 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
32 |
25 |
$2K |
| 90656 |
|
39 |
39 |
$683.86 |
| 90686 |
|
22 |
16 |
$377.24 |
| 90660 |
|
19 |
19 |
$328.40 |
| 92551 |
|
14 |
14 |
$212.80 |
| 90661 |
|
12 |
12 |
$200.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
127 |
114 |
$0.00 |
| 1003F |
|
40 |
40 |
$0.00 |