| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
466 |
415 |
$244K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
662 |
549 |
$110K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
168 |
165 |
$89K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
111 |
104 |
$66K |
| 0012A |
|
70 |
66 |
$48K |
| 0124A |
|
27 |
27 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$15K |
| 0072A |
|
17 |
17 |
$14K |
| 0071A |
|
16 |
16 |
$13K |
| 0011A |
|
15 |
14 |
$10K |
| 0064A |
|
27 |
24 |
$6K |
| 92015 |
Determination of refractive state |
72 |
69 |
$682.00 |
| 91312 |
|
27 |
27 |
$0.00 |
| 99499 |
|
29 |
20 |
$0.00 |
| 91301 |
|
110 |
103 |
$0.00 |
| 90686 |
|
44 |
44 |
$0.00 |
| 91307 |
|
41 |
40 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 91306 |
|
27 |
24 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |