| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,497 |
1,303 |
$328K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,198 |
1,056 |
$278K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
220 |
193 |
$67K |
| 0012A |
|
45 |
45 |
$18K |
| 96152 |
|
47 |
25 |
$14K |
| 0011A |
|
30 |
30 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
32 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
43 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$455.14 |
| 90686 |
|
160 |
148 |
$15.55 |
| 99000 |
|
173 |
140 |
$0.00 |
| 91301 |
|
98 |
93 |
$0.00 |