| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,247 |
2,023 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,054 |
1,865 |
$71K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
171 |
152 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
107 |
$2K |
| 90686 |
|
76 |
71 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$750.47 |
| 90682 |
|
15 |
15 |
$709.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$155.62 |
| 1160F |
|
17 |
12 |
$0.00 |
| 1159F |
|
17 |
12 |
$0.00 |
| 3008F |
|
17 |
12 |
$0.00 |