| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,084 |
2,568 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,265 |
1,047 |
$51K |
| 99058 |
|
1,936 |
1,637 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
151 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
32 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
80 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$435.15 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
29 |
$35.14 |
| 90686 |
|
27 |
27 |
$0.00 |
| 90658 |
|
21 |
21 |
$0.00 |