| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,882 |
5,254 |
$115K |
| 99442 |
|
536 |
502 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
531 |
450 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
154 |
129 |
$937.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
151 |
139 |
$541.36 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
108 |
93 |
$482.16 |
| 87490 |
|
22 |
20 |
$248.56 |
| 87590 |
|
24 |
21 |
$248.56 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
38 |
37 |
$158.26 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
37 |
37 |
$142.74 |
| 86593 |
|
193 |
165 |
$138.27 |
| 99201 |
|
15 |
15 |
$49.00 |
| 90658 |
|
249 |
232 |
$18.00 |