| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,406 |
2,137 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
910 |
854 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
84 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
146 |
137 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
218 |
216 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
149 |
145 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
344 |
327 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$761.82 |
| 96160 |
|
28 |
27 |
$0.00 |