| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,856 |
1,569 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
660 |
582 |
$32K |
| 90674 |
|
112 |
103 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
127 |
126 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
15 |
$593.60 |
| 90756 |
|
13 |
13 |
$287.16 |
| 3074F |
|
854 |
762 |
$0.95 |
| 3078F |
|
680 |
604 |
$0.70 |
| 3079F |
|
13 |
13 |
$0.03 |
| 4000F |
|
278 |
235 |
$0.00 |
| 1000F |
|
2,006 |
1,727 |
$0.00 |
| 1125F |
|
1,253 |
1,070 |
$0.00 |
| 3725F |
|
2,174 |
1,891 |
$0.00 |
| 1160F |
|
1,975 |
1,688 |
$0.00 |