| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,315 |
1,887 |
$180K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,366 |
1,137 |
$158K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
59 |
45 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
82 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
45 |
$1K |
| 0011A |
|
28 |
21 |
$960.24 |
| 90756 |
|
32 |
28 |
$730.00 |
| 0012A |
|
14 |
14 |
$560.00 |
| 90688 |
|
29 |
20 |
$537.57 |
| 99457 |
|
17 |
12 |
$243.16 |
| 99453 |
|
15 |
12 |
$27.92 |
| 99454 |
|
17 |
12 |
$11.56 |
| 91301 |
|
73 |
69 |
$0.40 |