| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
410 |
404 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
53 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
64 |
64 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
62 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
14 |
$611.52 |
| 99051 |
|
27 |
27 |
$585.72 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$326.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$162.96 |