| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
714 |
478 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
44 |
$2K |
| 92550 |
|
77 |
34 |
$669.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
28 |
$592.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
14 |
$168.39 |
| 92551 |
|
30 |
15 |
$139.24 |
| 99173 |
|
31 |
15 |
$109.77 |
| 36415 |
Collection of venous blood by venipuncture |
63 |
36 |
$77.35 |
| 81003 |
|
67 |
30 |
$49.82 |
| 3008F |
|
247 |
199 |
$0.07 |
| 3074F |
|
94 |
79 |
$0.00 |
| 3078F |
|
30 |
28 |
$0.00 |