| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
967 |
946 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
51 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
62 |
$4K |
| 99051 |
|
121 |
119 |
$3K |
| 99174 |
|
329 |
327 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
31 |
$1K |
| 92551 |
|
244 |
244 |
$977.70 |
| 90686 |
|
87 |
87 |
$575.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15 |
15 |
$257.55 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$211.64 |
| 96127 |
|
88 |
88 |
$61.70 |
| 99072 |
|
14 |
14 |
$49.00 |
| 83655 |
|
12 |
12 |
$34.50 |
| 96160 |
|
106 |
106 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |