| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,755 |
2,754 |
$267K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,591 |
4,348 |
$207K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,119 |
3,012 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
981 |
931 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,805 |
3,805 |
$71K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
637 |
556 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
540 |
533 |
$8K |
| 90686 |
|
3,400 |
3,400 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
372 |
372 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
176 |
176 |
$5K |
| 0001A |
|
42 |
42 |
$2K |
| 0012A |
|
40 |
39 |
$2K |
| 0011A |
|
50 |
50 |
$1K |
| 90661 |
|
36 |
36 |
$1K |
| 0003A |
|
16 |
16 |
$640.00 |
| 0002A |
|
14 |
14 |
$560.00 |
| 90715 |
|
706 |
706 |
$311.49 |
| 90656 |
|
91 |
91 |
$209.30 |
| 90651 |
|
33 |
33 |
$0.13 |
| 91300 |
|
83 |
83 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 91301 |
|
93 |
90 |
$0.00 |