| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,312 |
7,507 |
$544K |
| 99199 |
Unlisted special service, procedure or report |
18,356 |
18,114 |
$54K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
542 |
402 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,094 |
478 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
294 |
253 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
24 |
$2K |
| 87428 |
|
18 |
12 |
$890.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
41 |
$746.20 |
| 92551 |
|
19 |
13 |
$0.00 |
| 99173 |
|
19 |
13 |
$0.00 |