| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,056 |
3,995 |
$342K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
843 |
823 |
$49K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
658 |
628 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
255 |
255 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
33 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$3K |
| 90686 |
|
14 |
14 |
$266.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$145.05 |