| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
886 |
794 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
936 |
831 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
41 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 90686 |
|
89 |
73 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
66 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
28 |
$876.40 |
| 90633 |
|
60 |
57 |
$377.60 |
| 83655 |
|
26 |
25 |
$308.36 |
| 90670 |
|
28 |
28 |
$206.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$156.96 |
| 90648 |
|
16 |
15 |
$116.00 |
| 85018 |
|
12 |
12 |
$27.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
63 |
55 |
$0.00 |