| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,237 |
921 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
755 |
542 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
650 |
499 |
$11K |
| 87428 |
|
183 |
100 |
$4K |
| 0002A |
|
46 |
40 |
$1K |
| 0001A |
|
28 |
25 |
$908.32 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$646.68 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
13 |
$397.98 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
13 |
12 |
$181.10 |
| 97597 |
|
12 |
12 |
$158.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
14 |
$147.00 |
| 90686 |
|
38 |
38 |
$78.32 |
| 1160F |
|
50 |
29 |
$0.00 |
| 91300 |
|
100 |
76 |
$0.00 |
| 1159F |
|
51 |
30 |
$0.00 |
| 99441 |
|
41 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| 3079F |
|
19 |
12 |
$0.00 |