| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
618 |
492 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,195 |
739 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
82 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
74 |
45 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
110 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
90 |
43 |
$277.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
34 |
$134.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
15 |
$103.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
31 |
$84.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
41 |
$73.50 |
| 90686 |
|
18 |
12 |
$61.59 |
| 90656 |
|
18 |
13 |
$22.35 |