| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,841 |
1,404 |
$51K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
82 |
74 |
$1K |
| 87428 |
|
12 |
12 |
$906.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
48 |
$458.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
26 |
$370.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$224.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$157.16 |
| 99000 |
|
18 |
16 |
$133.44 |
| 97803 |
|
110 |
108 |
$51.78 |
| 96160 |
|
25 |
25 |
$10.73 |
| S9451 |
Exercise classes, non-physician provider, per session |
133 |
123 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
24 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
15 |
$0.00 |