| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,465 |
1,272 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
560 |
500 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90674 |
|
85 |
81 |
$822.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
127 |
121 |
$520.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$285.10 |
| 90661 |
|
58 |
54 |
$249.21 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
31 |
$237.09 |
| 96127 |
|
19 |
12 |
$8.90 |
| 1159F |
|
592 |
501 |
$0.00 |
| 1160F |
|
592 |
501 |
$0.00 |
| 3078F |
|
519 |
443 |
$0.00 |
| 3008F |
|
882 |
751 |
$0.00 |
| 1036F |
|
556 |
465 |
$0.00 |
| 3074F |
|
657 |
557 |
$0.00 |
| 3079F |
|
157 |
149 |
$0.00 |
| 3075F |
|
61 |
54 |
$0.00 |