| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,494 |
3,784 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
72 |
67 |
$3K |
| 90688 |
|
92 |
84 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
568 |
476 |
$1K |
| 90674 |
|
36 |
35 |
$840.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
37 |
$754.67 |
| 0012A |
|
27 |
24 |
$628.80 |
| 90686 |
|
41 |
37 |
$627.99 |
| 0071A |
|
15 |
12 |
$374.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
27 |
$349.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
19 |
$43.69 |
| 91307 |
|
15 |
12 |
$0.03 |
| 91301 |
|
43 |
40 |
$0.00 |