| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,148 |
1,105 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
894 |
835 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
165 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
76 |
74 |
$2K |
| 90686 |
|
26 |
24 |
$352.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
38 |
$133.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$76.13 |
| 81002 |
|
42 |
40 |
$75.25 |
| 3074F |
|
98 |
92 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |
| 1126F |
|
32 |
29 |
$0.00 |
| 3351F |
|
172 |
164 |
$0.00 |
| 3078F |
|
131 |
125 |
$0.00 |