| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,281 |
5,323 |
$348K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,139 |
3,614 |
$252K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,600 |
1,540 |
$133K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
511 |
500 |
$48K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,532 |
3,398 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,761 |
3,695 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,565 |
5,921 |
$28K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,024 |
545 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
440 |
282 |
$7K |
| 87807 |
|
245 |
212 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$1K |
| 90688 |
|
36 |
36 |
$209.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
18 |
$129.32 |
| 81002 |
|
29 |
26 |
$59.67 |
| 91300 |
|
18 |
12 |
$0.70 |
| 1160F |
|
2,991 |
2,706 |
$0.00 |
| 1159F |
|
2,878 |
2,611 |
$0.00 |
| 3078F |
|
489 |
468 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| 3074F |
|
692 |
653 |
$0.00 |
| 1036F |
|
1,333 |
1,172 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 3079F |
|
164 |
156 |
$0.00 |
| 3008F |
|
842 |
799 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |