| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,239 |
5,564 |
$368K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,424 |
1,213 |
$86K |
| 87428 |
|
222 |
194 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
252 |
224 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$233.32 |
| 81003 |
|
137 |
116 |
$100.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
160 |
73 |
$89.40 |
| 90688 |
|
17 |
14 |
$86.35 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
143 |
128 |
$43.32 |
| 87807 |
|
28 |
28 |
$32.76 |
| 3079F |
|
38 |
32 |
$0.00 |
| 3074F |
|
143 |
126 |
$0.00 |
| 3075F |
|
15 |
12 |
$0.00 |
| 3078F |
|
112 |
98 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
13 |
13 |
$0.00 |
| 80305 |
|
17 |
13 |
$0.00 |