| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
63 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
103 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
58 |
57 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
34 |
34 |
$1K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
112 |
112 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
17 |
$872.27 |
| 96127 |
|
41 |
41 |
$421.07 |
| 99177 |
|
13 |
13 |
$227.50 |
| 81002 |
|
47 |
47 |
$123.59 |
| 94760 |
|
62 |
61 |
$122.76 |