| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,448 |
1,335 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,055 |
986 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
312 |
311 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
52 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$840.15 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
21 |
$814.14 |
| 96127 |
|
102 |
102 |
$407.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$220.08 |
| 90686 |
|
127 |
127 |
$17.29 |
| 90656 |
|
16 |
16 |
$0.00 |