| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,582 |
2,236 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
156 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
159 |
156 |
$5K |
| 93000 |
|
288 |
287 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
43 |
$3K |
| 96127 |
|
303 |
279 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
87 |
48 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$974.38 |
| 81003 |
|
462 |
443 |
$814.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
26 |
$289.89 |
| 96160 |
|
13 |
13 |
$36.08 |
| 99072 |
|
94 |
82 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
172 |
153 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
46 |
45 |
$0.00 |