| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,105 |
4,971 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,313 |
1,150 |
$68K |
| 99051 |
|
2,317 |
1,951 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
42 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
27 |
$645.55 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
49 |
43 |
$343.80 |
| 87428 |
|
15 |
13 |
$278.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$165.38 |
| 85027 |
|
16 |
13 |
$57.96 |
| 82962 |
|
16 |
13 |
$26.26 |
| 2000F |
|
282 |
247 |
$0.00 |
| 1125F |
|
27 |
23 |
$0.00 |
| 2001F |
|
288 |
253 |
$0.00 |
| 3074F |
|
24 |
18 |
$0.00 |
| 1126F |
|
24 |
20 |
$0.00 |
| 3077F |
|
27 |
25 |
$0.00 |
| 1159F |
|
71 |
66 |
$0.00 |
| 1160F |
|
138 |
126 |
$0.00 |
| 3078F |
|
43 |
37 |
$0.00 |