| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
18,295 |
9,646 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,319 |
2,201 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
790 |
633 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
48 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
189 |
52 |
$1K |
| 99401 |
|
37 |
30 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
266 |
75 |
$794.54 |
| 36415 |
Collection of venous blood by venipuncture |
258 |
218 |
$535.66 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$497.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
26 |
$495.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
13 |
$308.12 |
| 90686 |
|
18 |
14 |
$33.10 |
| 1159F |
|
14 |
13 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |