| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,147 |
2,733 |
$201K |
| 99215 |
Prolong outpt/office vis |
201 |
191 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
375 |
342 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
178 |
$5K |
| 80305 |
|
172 |
161 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 90674 |
|
51 |
49 |
$982.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
48 |
$975.64 |
| 96112 |
|
18 |
17 |
$597.80 |
| 81002 |
|
213 |
199 |
$458.52 |
| 99401 |
|
15 |
15 |
$417.34 |
| 82044 |
|
89 |
86 |
$389.45 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
38 |
$302.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$263.04 |
| 36415 |
Collection of venous blood by venipuncture |
109 |
103 |
$251.07 |
| 82962 |
|
85 |
70 |
$225.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$214.89 |
| 94664 |
|
13 |
12 |
$134.47 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$14.00 |
| 90686 |
|
27 |
26 |
$0.00 |