| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,045 |
3,584 |
$176K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
236 |
195 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
292 |
266 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57 |
49 |
$3K |
| 87428 |
|
59 |
51 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$341.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
41 |
$337.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
24 |
$299.32 |
| 99173 |
|
13 |
13 |
$20.05 |
| 90633 |
|
16 |
16 |
$0.00 |
| 90686 |
|
121 |
89 |
$0.00 |
| 99000 |
|
59 |
56 |
$0.00 |