| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
157 |
156 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
272 |
266 |
$729.78 |
| 90686 |
|
41 |
41 |
$360.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
57 |
$204.55 |
| 92551 |
|
13 |
13 |
$171.08 |
| G9920 |
Screening performed and negative |
46 |
46 |
$58.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
65 |
65 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
25 |
$0.00 |