| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
461 |
421 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
346 |
324 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$567.50 |
| 99000 |
|
107 |
100 |
$260.88 |
| 90686 |
|
16 |
16 |
$181.46 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
54 |
46 |
$0.00 |