| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,521 |
3,265 |
$292K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,071 |
3,432 |
$218K |
| 36415 |
Collection of venous blood by venipuncture |
2,296 |
2,128 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
158 |
152 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 81002 |
|
488 |
460 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
37 |
$836.85 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
26 |
$777.85 |
| 90688 |
|
58 |
56 |
$597.79 |
| 90686 |
|
27 |
27 |
$409.11 |
| 90658 |
|
39 |
39 |
$316.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$156.20 |
| 3079F |
|
15 |
15 |
$0.00 |
| 3074F |
|
39 |
39 |
$0.00 |
| 3078F |
|
28 |
28 |
$0.00 |