| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,309 |
4,908 |
$326K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,725 |
2,523 |
$151K |
| 36415 |
Collection of venous blood by venipuncture |
1,393 |
1,322 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
169 |
164 |
$7K |
| 90686 |
|
251 |
230 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
161 |
153 |
$5K |
| 99442 |
|
107 |
105 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
14 |
$1K |
| 99443 |
|
30 |
29 |
$993.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
35 |
$901.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$285.80 |
| 99441 |
|
15 |
12 |
$42.60 |