| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,409 |
2,142 |
$216K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,719 |
2,466 |
$170K |
| 90688 |
|
264 |
255 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
172 |
172 |
$4K |
| 96127 |
|
292 |
272 |
$1K |
| 81002 |
|
116 |
111 |
$333.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$296.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$253.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
94 |
91 |
$73.65 |