| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
734 |
649 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
827 |
704 |
$43K |
| 99215 |
Prolong outpt/office vis |
218 |
192 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
244 |
112 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
254 |
213 |
$11K |
| 96127 |
|
549 |
481 |
$8K |
| 99000 |
|
145 |
101 |
$3K |
| 94664 |
|
96 |
89 |
$1K |
| 90661 |
|
53 |
53 |
$885.63 |
| 90686 |
|
55 |
44 |
$506.65 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
96 |
$0.00 |