| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,000 |
3,169 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,818 |
2,399 |
$143K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
51 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
38 |
$3K |
| 90686 |
|
92 |
86 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
39 |
35 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
75 |
$446.47 |
| 90661 |
|
14 |
14 |
$357.60 |
| 90656 |
|
47 |
38 |
$346.23 |
| 99422 |
|
20 |
14 |
$212.77 |
| G0008 |
Administration of influenza virus vaccine |
48 |
39 |
$184.54 |
| 81005 |
|
22 |
12 |
$4.34 |