| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
882 |
722 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
271 |
253 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
124 |
101 |
$4K |
| 99401 |
|
93 |
66 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
69 |
62 |
$2K |
| 96127 |
|
134 |
125 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
19 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
160 |
71 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
41 |
$743.82 |
| 92551 |
|
119 |
110 |
$687.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$274.80 |
| 99173 |
|
27 |
26 |
$197.60 |
| 36416 |
|
49 |
42 |
$138.80 |
| 87807 |
|
12 |
12 |
$137.40 |
| 90686 |
|
313 |
300 |
$106.46 |
| 90688 |
|
39 |
27 |
$24.00 |
| 85018 |
|
54 |
48 |
$0.00 |