| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,330 |
1,922 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
111 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
52 |
51 |
$1K |
| 99401 |
|
64 |
60 |
$1K |
| 93000 |
|
83 |
82 |
$890.16 |
| 94010 |
|
24 |
24 |
$554.88 |
| 81003 |
|
166 |
160 |
$254.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$177.80 |
| 90686 |
|
12 |
12 |
$168.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$17.08 |
| 99072 |
|
324 |
285 |
$0.00 |