| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,506 |
3,813 |
$332K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,245 |
976 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
936 |
563 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
494 |
334 |
$14K |
| 99199 |
Unlisted special service, procedure or report |
4,033 |
3,912 |
$12K |
| 96127 |
|
1,267 |
951 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
435 |
174 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
243 |
189 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
18 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
49 |
$579.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$202.89 |
| 81002 |
|
66 |
44 |
$129.16 |
| 90756 |
|
42 |
35 |
$85.83 |
| 81025 |
|
17 |
14 |
$62.40 |
| 81005 |
|
14 |
14 |
$16.61 |