| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
269 |
222 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84 |
79 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
138 |
131 |
$4K |
| 90686 |
|
120 |
118 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
50 |
46 |
$293.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$41.12 |
| 81002 |
|
12 |
12 |
$15.50 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
34 |
31 |
$0.00 |