| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,695 |
3,965 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
344 |
252 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
165 |
134 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
51 |
$844.94 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
59 |
41 |
$727.52 |
| 36415 |
Collection of venous blood by venipuncture |
887 |
687 |
$683.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
62 |
52 |
$456.78 |
| 80305 |
|
95 |
79 |
$369.02 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
221 |
167 |
$301.71 |
| 90688 |
|
48 |
33 |
$211.31 |
| 81003 |
|
188 |
148 |
$196.22 |
| 81002 |
|
154 |
131 |
$194.31 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
25 |
12 |
$167.04 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
44 |
14 |
$103.29 |
| 90686 |
|
18 |
13 |
$98.15 |
| 81025 |
|
16 |
12 |
$64.62 |
| 1170F |
|
28 |
13 |
$40.00 |
| G0008 |
Administration of influenza virus vaccine |
46 |
32 |
$0.00 |
| 1090F |
|
28 |
13 |
$0.00 |