| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
959 |
721 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248 |
210 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
79 |
63 |
$2K |
| 86328 |
|
80 |
63 |
$1K |
| S8301 |
Infection control supplies, not otherwise specified |
218 |
156 |
$580.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
32 |
$281.48 |
| 99000 |
|
42 |
36 |
$132.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$78.60 |
| 90686 |
|
13 |
13 |
$38.52 |