| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,103 |
1,547 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
824 |
712 |
$38K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
545 |
466 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
583 |
269 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
429 |
393 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$130.00 |
| 96160 |
|
13 |
13 |
$22.95 |
| 90658 |
|
12 |
12 |
$0.00 |