| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
87 |
79 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
180 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213 |
185 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
25 |
$388.92 |
| 99000 |
|
30 |
26 |
$302.40 |
| 92551 |
|
15 |
13 |
$114.48 |
| G8484 |
Influenza immunization was not administered, reason not given |
272 |
230 |
$0.00 |
| 99173 |
|
15 |
13 |
$0.00 |