| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,630 |
4,488 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,236 |
2,816 |
$94K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
489 |
294 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
83 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,633 |
1,367 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
183 |
82 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
188 |
173 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
77 |
76 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$887.37 |
| 81002 |
|
567 |
457 |
$656.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
12 |
$636.17 |
| 90688 |
|
125 |
111 |
$630.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
13 |
$46.41 |
| 99000 |
|
443 |
401 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
55 |
46 |
$0.00 |