| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,979 |
1,846 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,847 |
1,695 |
$120K |
| 90686 |
|
117 |
117 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
163 |
162 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$425.42 |
| 96127 |
|
135 |
135 |
$397.18 |
| 90656 |
|
17 |
17 |
$362.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$332.86 |
| 81003 |
|
26 |
25 |
$51.89 |
| 99000 |
|
14 |
12 |
$13.07 |
| 3078F |
|
13 |
13 |
$0.00 |
| 3725F |
|
57 |
57 |
$0.00 |