| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,073 |
2,458 |
$248K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
194 |
164 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
82 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$3K |
| W0037 |
|
536 |
536 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
104 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 90686 |
|
20 |
20 |
$570.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
89 |
$0.00 |
| 86328 |
|
13 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
81 |
74 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |