| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,043 |
2,957 |
$53K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
815 |
801 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
378 |
343 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
145 |
134 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
57 |
52 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
32 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
30 |
$1K |
| 90686 |
|
547 |
535 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
111 |
105 |
$780.00 |
| 90688 |
|
32 |
32 |
$374.64 |
| 87400 |
|
43 |
42 |
$288.04 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90670 |
|
80 |
77 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |