| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
507 |
359 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
324 |
216 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
36 |
$3K |
| 81025 |
|
90 |
76 |
$387.44 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
13 |
13 |
$315.26 |
| 90686 |
|
13 |
13 |
$308.92 |
| 81003 |
|
63 |
46 |
$146.95 |
| 88142 |
|
18 |
16 |
$56.95 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$8.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
13 |
$0.00 |