| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,755 |
1,356 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
416 |
338 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
45 |
$3K |
| 0012A |
|
41 |
39 |
$1K |
| 0011A |
|
49 |
46 |
$1K |
| 90674 |
|
114 |
82 |
$810.26 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
27 |
$724.10 |
| 90656 |
|
31 |
30 |
$549.72 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
22 |
18 |
$546.15 |
| 0013A |
|
14 |
13 |
$440.00 |
| 91320 |
|
14 |
14 |
$393.30 |
| 0124A |
|
15 |
12 |
$160.00 |
| 90480 |
|
15 |
15 |
$160.00 |
| 36415 |
Collection of venous blood by venipuncture |
93 |
85 |
$158.88 |
| 99000 |
|
39 |
37 |
$128.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$96.43 |