| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,393 |
1,219 |
$41K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
76 |
75 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
31 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
108 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
18 |
$447.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$242.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$157.97 |
| 96127 |
|
33 |
31 |
$17.76 |
| 1036F |
|
234 |
208 |
$0.00 |
| 3008F |
|
483 |
428 |
$0.00 |
| 3074F |
|
246 |
223 |
$0.00 |
| 1160F |
|
246 |
232 |
$0.00 |
| 1159F |
|
247 |
233 |
$0.00 |
| 3078F |
|
201 |
184 |
$0.00 |