| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0071A |
|
331 |
313 |
$12K |
| 0072A |
|
289 |
246 |
$9K |
| 0012A |
|
297 |
289 |
$9K |
| 0001A |
|
211 |
201 |
$7K |
| 0002A |
|
204 |
198 |
$7K |
| 0011A |
|
309 |
296 |
$7K |
| 99401 |
|
572 |
502 |
$5K |
| 0003A |
|
148 |
138 |
$4K |
| 0064A |
|
119 |
108 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
277 |
257 |
$4K |
| 90674 |
|
173 |
156 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
171 |
150 |
$2K |
| 0134A |
|
34 |
33 |
$1K |
| 99325 |
|
51 |
48 |
$888.61 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
16 |
$618.15 |
| 99334 |
|
59 |
55 |
$449.80 |
| 0124A |
|
48 |
41 |
$400.00 |
| 99307 |
|
102 |
85 |
$382.56 |
| 99356 |
|
20 |
14 |
$378.07 |
| 0013A |
|
12 |
12 |
$320.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
63 |
$306.58 |
| 90480 |
|
16 |
12 |
$240.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71 |
67 |
$189.24 |
| 91312 |
|
48 |
41 |
$0.00 |
| 91300 |
|
641 |
608 |
$0.00 |
| 91313 |
|
34 |
33 |
$0.00 |
| 91307 |
|
638 |
565 |
$0.00 |
| 91306 |
|
118 |
107 |
$0.00 |
| 91301 |
|
656 |
624 |
$0.00 |