| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,034 |
1,883 |
$104K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,184 |
2,016 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
499 |
478 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
501 |
480 |
$5K |
| 87428 |
|
72 |
70 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
17 |
16 |
$2K |
| 0011A |
|
133 |
125 |
$2K |
| 0012A |
|
72 |
70 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17 |
17 |
$2K |
| 99000 |
|
506 |
459 |
$2K |
| 0002A |
|
56 |
55 |
$2K |
| 0031A |
|
55 |
53 |
$1K |
| 0001A |
|
47 |
47 |
$920.08 |
| T1017 |
Targeted case management, each 15 minutes |
12 |
12 |
$240.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
15 |
$212.20 |
| 90686 |
|
52 |
37 |
$23.50 |
| 90674 |
|
31 |
31 |
$14.25 |
| 91301 |
|
12 |
12 |
$0.78 |