| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,113 |
2,634 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
39 |
$3K |
| 90686 |
|
98 |
97 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
643 |
585 |
$1K |
| 92552 |
|
30 |
26 |
$759.09 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
15 |
$562.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
15 |
$353.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
95 |
91 |
$302.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$140.62 |
| 99173 |
|
65 |
60 |
$130.18 |
| 96127 |
|
31 |
26 |
$118.55 |
| 99000 |
|
21 |
18 |
$29.80 |
| 99072 |
|
52 |
44 |
$15.84 |