| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,851 |
2,106 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,311 |
896 |
$53K |
| 99199 |
Unlisted special service, procedure or report |
14,912 |
14,270 |
$52K |
| 99490 |
Ccm add 20min |
2,518 |
1,522 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
514 |
318 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
126 |
101 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
67 |
$915.90 |
| 90686 |
|
162 |
138 |
$551.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
41 |
$494.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$429.45 |
| 81002 |
|
16 |
12 |
$34.65 |