| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,966 |
2,388 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
408 |
334 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
158 |
137 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
630 |
367 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
290 |
247 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
115 |
89 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,377 |
1,102 |
$2K |
| 96160 |
|
33 |
25 |
$1K |
| 92552 |
|
73 |
57 |
$988.93 |
| 96127 |
|
206 |
184 |
$663.47 |
| 81003 |
|
303 |
253 |
$431.76 |
| 90688 |
|
20 |
18 |
$275.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
15 |
$128.81 |
| 99173 |
|
71 |
43 |
$91.89 |