| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,743 |
4,120 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,663 |
1,454 |
$61K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
541 |
377 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
515 |
496 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
79 |
69 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
79 |
77 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
16 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
182 |
131 |
$415.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
66 |
63 |
$20.75 |
| 90686 |
|
198 |
191 |
$0.00 |
| 90688 |
|
17 |
17 |
$0.00 |