| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
365 |
334 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
107 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
315 |
313 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
34 |
29 |
$1K |
| 96127 |
|
40 |
40 |
$185.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$95.00 |
| 92551 |
|
27 |
27 |
$68.13 |
| 99173 |
|
26 |
26 |
$2.96 |
| 99070 |
|
12 |
12 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 99072 |
|
120 |
106 |
$0.00 |