| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,357 |
3,020 |
$166K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,033 |
973 |
$68K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
24 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
874 |
823 |
$2K |
| 90688 |
|
148 |
145 |
$1K |
| 99497 |
|
38 |
38 |
$1K |
| 99051 |
|
306 |
296 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
175 |
172 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
45 |
45 |
$866.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
52 |
$403.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$274.67 |
| 96127 |
|
25 |
24 |
$85.68 |
| 1034F |
|
13 |
12 |
$0.03 |
| 3074F |
|
13 |
13 |
$0.01 |
| 1036F |
|
46 |
44 |
$0.00 |