| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
552 |
486 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
267 |
220 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
367 |
344 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
86 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
53 |
30 |
$2K |
| 92552 |
|
134 |
132 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
32 |
$1K |
| 90686 |
|
117 |
113 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
29 |
$755.74 |
| 0002A |
|
16 |
14 |
$476.66 |
| 0012A |
|
17 |
17 |
$408.82 |
| 99173 |
|
136 |
134 |
$327.60 |
| 81002 |
|
119 |
114 |
$307.42 |
| 88738 |
|
70 |
68 |
$249.58 |
| 0011A |
|
18 |
16 |
$231.11 |
| 91301 |
|
34 |
32 |
$0.27 |
| 91300 |
|
35 |
29 |
$0.26 |
| 99072 |
|
339 |
210 |
$0.00 |