| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,615 |
1,387 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
490 |
411 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
120 |
$555.20 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$494.62 |
| 90686 |
|
32 |
32 |
$313.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
13 |
$197.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
26 |
$197.00 |
| 92552 |
|
13 |
13 |
$97.50 |
| 90674 |
|
12 |
12 |
$78.64 |
| 81002 |
|
12 |
12 |
$26.40 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
39 |
$1.10 |