| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,423 |
1,341 |
$94K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,672 |
2,590 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
518 |
425 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
405 |
391 |
$6K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
24 |
24 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
54 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$832.50 |
| 92551 |
|
130 |
120 |
$775.68 |
| 99177 |
|
168 |
168 |
$724.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
25 |
$360.40 |
| 0001A |
|
12 |
12 |
$271.33 |
| 90686 |
|
220 |
217 |
$105.00 |