| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
921 |
811 |
$12K |
| 92551 |
|
142 |
129 |
$899.00 |
| 90734 |
|
67 |
67 |
$540.69 |
| 99429 |
|
93 |
81 |
$419.53 |
| G0008 |
Administration of influenza virus vaccine |
104 |
65 |
$320.88 |
| 90715 |
|
17 |
17 |
$320.00 |
| 92567 |
|
49 |
49 |
$305.00 |
| 90480 |
|
56 |
56 |
$265.60 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
71 |
38 |
$240.00 |
| 99188 |
|
13 |
13 |
$226.66 |
| 0134A |
|
56 |
56 |
$145.80 |
| 85018 |
|
130 |
91 |
$138.63 |
| 90686 |
|
72 |
41 |
$122.21 |
| 0064A |
|
91 |
30 |
$66.30 |
| 0013A |
|
32 |
20 |
$11.28 |
| 36416 |
|
54 |
18 |
$7.50 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
23 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$0.00 |
| 91301 |
|
65 |
21 |
$0.00 |
| V5008 |
Hearing screening |
42 |
15 |
$0.00 |
| 83655 |
|
52 |
16 |
$0.00 |
| 91313 |
|
46 |
46 |
$0.00 |
| 91322 |
|
16 |
16 |
$0.00 |