| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
16,358 |
12,711 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,332 |
1,381 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
694 |
473 |
$28K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
202 |
130 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
288 |
91 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$306.75 |
| 36415 |
Collection of venous blood by venipuncture |
220 |
129 |
$278.56 |
| 99173 |
|
42 |
39 |
$8.27 |
| 92551 |
|
42 |
39 |
$8.02 |