| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
39,721 |
20,092 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,526 |
1,161 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,953 |
1,488 |
$96K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
346 |
315 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
174 |
80 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
43 |
38 |
$2K |
| 90686 |
|
171 |
154 |
$629.57 |
| 92551 |
|
45 |
41 |
$22.02 |
| 99173 |
|
44 |
40 |
$15.00 |
| 3078F |
|
17 |
14 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
26 |
13 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
105 |
80 |
$0.00 |
| 3008F |
|
146 |
117 |
$0.00 |
| 3074F |
|
107 |
92 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |