| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,559 |
3,761 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
957 |
787 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
144 |
130 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
50 |
$416.25 |
| 87428 |
|
15 |
14 |
$317.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$162.20 |
| 81002 |
|
25 |
16 |
$80.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
12 |
$55.74 |
| 90686 |
|
26 |
25 |
$0.11 |
| 3078F |
|
687 |
612 |
$0.00 |
| 3074F |
|
971 |
851 |
$0.00 |
| 3008F |
|
572 |
501 |
$0.00 |
| 3079F |
|
15 |
13 |
$0.00 |