| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,142 |
987 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
175 |
161 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
359 |
352 |
$16K |
| 90461 |
|
79 |
79 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
40 |
24 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
125 |
103 |
$480.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
12 |
$373.06 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$283.86 |
| 90670 |
|
51 |
12 |
$240.06 |
| 96127 |
|
27 |
26 |
$60.19 |
| S8301 |
Infection control supplies, not otherwise specified |
101 |
38 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90686 |
|
16 |
15 |
$0.00 |