| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,618 |
3,132 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,454 |
1,261 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,180 |
1,081 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,257 |
587 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
368 |
346 |
$17K |
| 92551 |
|
1,428 |
1,330 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
583 |
544 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
53 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
273 |
179 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
58 |
$873.99 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$813.86 |
| 90686 |
|
129 |
118 |
$806.04 |
| 90682 |
|
12 |
12 |
$657.31 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
25 |
$271.32 |
| 81003 |
|
111 |
103 |
$219.36 |
| 81025 |
|
19 |
18 |
$119.25 |
| 3008F |
|
496 |
458 |
$0.00 |
| 3074F |
|
320 |
296 |
$0.00 |
| 96127 |
|
16 |
14 |
$0.00 |
| 3078F |
|
206 |
191 |
$0.00 |
| 1159F |
|
28 |
27 |
$0.00 |
| 99173 |
|
30 |
28 |
$0.00 |