| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
17,221 |
9,011 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,585 |
2,148 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,800 |
1,536 |
$85K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
19 |
$724.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
14 |
$509.90 |
| 81002 |
|
122 |
64 |
$168.05 |
| 90674 |
|
40 |
24 |
$166.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
12 |
$155.69 |
| 90756 |
|
65 |
30 |
$85.83 |
| 96127 |
|
21 |
13 |
$55.67 |
| G0008 |
Administration of influenza virus vaccine |
26 |
12 |
$0.00 |