| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
258 |
236 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
280 |
206 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
267 |
242 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
327 |
83 |
$4K |
| 0004A |
|
61 |
61 |
$2K |
| 0072A |
|
40 |
39 |
$2K |
| 0071A |
|
35 |
35 |
$2K |
| 90674 |
|
61 |
61 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
174 |
73 |
$2K |
| 99341 |
|
127 |
102 |
$1K |
| 90686 |
|
162 |
116 |
$1K |
| 0124A |
|
56 |
55 |
$960.69 |
| 0011A |
|
46 |
40 |
$956.00 |
| 0134A |
|
33 |
33 |
$850.00 |
| 0001A |
|
23 |
21 |
$840.00 |
| 0013A |
|
32 |
32 |
$760.00 |
| 0064A |
|
16 |
13 |
$590.00 |
| 0012A |
|
26 |
21 |
$520.00 |
| 0003A |
|
18 |
12 |
$480.00 |
| 90694 |
|
104 |
83 |
$340.53 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$310.88 |
| 99348 |
|
51 |
51 |
$274.16 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
72 |
71 |
$232.80 |
| 99342 |
|
22 |
20 |
$205.44 |
| 0031A |
|
39 |
30 |
$200.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
32 |
$166.18 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$162.81 |
| G0008 |
Administration of influenza virus vaccine |
155 |
146 |
$122.67 |
| 0054A |
|
16 |
16 |
$120.00 |
| 90688 |
|
70 |
39 |
$75.92 |
| 91312 |
|
30 |
30 |
$52.92 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
152 |
57 |
$0.00 |
| 90687 |
|
30 |
23 |
$0.00 |
| 91303 |
|
37 |
28 |
$0.00 |