| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
987 |
794 |
$119K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
384 |
295 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
426 |
356 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
181 |
117 |
$4K |
| 99205 |
Prolong outpt/office vis |
22 |
14 |
$3K |
| 0003A |
|
27 |
25 |
$920.00 |
| 0071A |
|
25 |
16 |
$640.00 |
| 0072A |
|
16 |
12 |
$400.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
30 |
$281.87 |