| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,800 |
1,496 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
682 |
600 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
157 |
101 |
$4K |
| 96127 |
|
1,596 |
1,271 |
$830.09 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$710.50 |
| 90686 |
|
37 |
31 |
$501.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
31 |
$427.03 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
25 |
$342.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
24 |
$321.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$280.24 |
| 99401 |
|
34 |
33 |
$156.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$153.91 |
| 1126F |
|
1,078 |
967 |
$0.00 |
| 3008F |
|
2,125 |
1,705 |
$0.00 |
| 3074F |
|
898 |
806 |
$0.00 |
| 4037F |
|
64 |
51 |
$0.00 |
| 1036F |
|
2,233 |
1,702 |
$0.00 |
| 3079F |
|
227 |
207 |
$0.00 |
| 3075F |
|
52 |
50 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 3725F |
|
2,695 |
1,567 |
$0.00 |
| 1159F |
|
1,693 |
1,326 |
$0.00 |
| 1160F |
|
1,691 |
1,326 |
$0.00 |
| 3078F |
|
724 |
658 |
$0.00 |
| 99072 |
|
104 |
78 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
18 |
14 |
$0.00 |
| 4019F |
|
31 |
29 |
$0.00 |
| 1003F |
|
322 |
258 |
$0.00 |