| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,854 |
1,657 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,824 |
1,637 |
$60K |
| 36415 |
Collection of venous blood by venipuncture |
933 |
858 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
16 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$821.80 |
| 90688 |
|
40 |
39 |
$345.13 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
22 |
$313.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
13 |
$221.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$90.26 |
| 90461 |
|
20 |
16 |
$21.02 |
| 90734 |
|
13 |
12 |
$0.02 |