| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,640 |
3,828 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
462 |
418 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
99 |
92 |
$3K |
| 99348 |
|
16 |
13 |
$575.68 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
26 |
24 |
$248.06 |
| 90756 |
|
14 |
14 |
$178.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$172.92 |
| 90686 |
|
18 |
18 |
$163.29 |
| 36415 |
Collection of venous blood by venipuncture |
142 |
138 |
$21.87 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |