| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,919 |
1,716 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,872 |
1,745 |
$69K |
| 99215 |
Prolong outpt/office vis |
494 |
481 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,044 |
1,205 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
86 |
83 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
61 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
42 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
40 |
$539.56 |
| 96160 |
|
86 |
85 |
$176.59 |
| 90461 |
|
16 |
14 |
$111.86 |
| 85018 |
|
15 |
14 |
$24.09 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$2.80 |
| 90688 |
|
439 |
434 |
$1.44 |