| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,727 |
1,430 |
$98K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,932 |
987 |
$65K |
| 90715 |
|
169 |
134 |
$2K |
| 87428 |
|
482 |
363 |
$873.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
747 |
571 |
$681.35 |
| 0072A |
|
14 |
13 |
$437.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
210 |
158 |
$343.11 |
| 0001A |
|
21 |
17 |
$215.22 |
| 0071A |
|
58 |
28 |
$197.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
130 |
96 |
$117.21 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
94 |
72 |
$110.33 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
228 |
162 |
$94.54 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
27 |
19 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |