| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
378 |
301 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
24 |
$1K |
| 90686 |
|
115 |
99 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
17 |
12 |
$872.27 |
| 96127 |
|
23 |
15 |
$292.00 |
| 99072 |
|
26 |
25 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$0.00 |