| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,275 |
1,120 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
115 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
32 |
$968.05 |
| 0001A |
|
14 |
14 |
$771.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$372.42 |
| 90674 |
|
14 |
14 |
$292.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$212.42 |
| 91300 |
|
25 |
14 |
$0.00 |