| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
732 |
702 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138 |
120 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
27 |
$628.89 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
13 |
$579.32 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$270.40 |
| 96127 |
|
13 |
13 |
$64.44 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15 |
14 |
$25.00 |
| 3008F |
|
91 |
91 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |