| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,415 |
1,993 |
$95K |
| 99091 |
|
518 |
474 |
$72K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
175 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
120 |
106 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
63 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
117 |
113 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
18 |
$617.48 |
| 80061 |
Lipid panel |
26 |
26 |
$225.00 |
| 81003 |
|
175 |
161 |
$86.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$7.84 |