| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,087 |
4,052 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,141 |
2,535 |
$136K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
175 |
146 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
148 |
$2K |
| 90686 |
|
167 |
149 |
$1K |
| 80305 |
|
181 |
140 |
$767.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33 |
27 |
$126.33 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
38 |
$91.53 |
| 90688 |
|
22 |
19 |
$69.76 |
| G0008 |
Administration of influenza virus vaccine |
48 |
39 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$0.00 |