| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,576 |
2,527 |
$126K |
| 87428 |
|
771 |
758 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
556 |
532 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
223 |
219 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
425 |
416 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
513 |
252 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
398 |
395 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
45 |
$383.40 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18 |
18 |
$375.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$258.60 |
| 99177 |
|
37 |
37 |
$176.04 |
| 81025 |
|
25 |
25 |
$127.25 |
| 81002 |
|
27 |
27 |
$57.07 |