| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,652 |
5,994 |
$397K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,422 |
2,177 |
$174K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
829 |
794 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
254 |
122 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
30 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
30 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
279 |
261 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
34 |
32 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$561.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$95.40 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
68 |
$75.06 |
| 3078F |
|
612 |
539 |
$1.92 |
| 3074F |
|
332 |
296 |
$1.18 |
| 90686 |
|
30 |
30 |
$0.07 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
60 |
54 |
$0.07 |
| 3008F |
|
1,513 |
954 |
$0.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
138 |
109 |
$0.00 |
| 1159F |
|
433 |
365 |
$0.00 |