| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,412 |
5,140 |
$272K |
| 87428 |
|
1,110 |
1,073 |
$62K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,042 |
1,008 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
289 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
460 |
437 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,288 |
625 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
987 |
958 |
$10K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
13 |
13 |
$2K |
| 81025 |
|
321 |
308 |
$2K |
| 96127 |
|
555 |
544 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
46 |
46 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
100 |
$800.68 |
| 81002 |
|
267 |
265 |
$560.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
26 |
$301.28 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
25 |
$250.20 |
| 99173 |
|
34 |
30 |
$236.60 |
| 87210 |
|
16 |
16 |
$53.52 |