| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,507 |
7,815 |
$441K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,931 |
7,476 |
$359K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
40 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$1K |
| 90688 |
|
30 |
30 |
$398.22 |
| 96160 |
|
168 |
161 |
$242.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$133.21 |
| 96127 |
|
12 |
12 |
$71.01 |
| 99072 |
|
401 |
377 |
$0.00 |