| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
28 |
$20.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
67 |
$0.00 |
| 92551 |
|
17 |
13 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72 |
61 |
$0.00 |
| 94760 |
|
34 |
25 |
$0.00 |
| 99000 |
|
18 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
23 |
14 |
$0.00 |
| 90461 |
|
16 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
22 |
$0.00 |