| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
72 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
14 |
$962.15 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
18 |
$554.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
18 |
$377.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
21 |
$238.08 |