| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,092 |
3,410 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,225 |
1,011 |
$73K |
| 99307 |
|
330 |
317 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
61 |
53 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
298 |
269 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
148 |
110 |
$698.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$597.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$482.44 |
| 1160F |
|
759 |
619 |
$230.00 |
| 1159F |
|
589 |
490 |
$230.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
15 |
$212.30 |
| 90686 |
|
14 |
14 |
$133.21 |
| 3074F |
|
758 |
639 |
$100.00 |
| 96127 |
|
19 |
15 |
$72.76 |
| 1036F |
|
1,700 |
1,381 |
$0.00 |
| 3008F |
|
1,626 |
1,319 |
$0.00 |
| 1126F |
|
485 |
411 |
$0.00 |
| 1125F |
|
134 |
109 |
$0.00 |
| 1034F |
|
47 |
32 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 3078F |
|
495 |
411 |
$0.00 |
| 3725F |
|
16 |
13 |
$0.00 |