| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,491 |
5,282 |
$193K |
| 87428 |
|
835 |
695 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
336 |
294 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
323 |
244 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
75 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,216 |
1,906 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
200 |
90 |
$3K |
| 99441 |
|
185 |
156 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
163 |
$2K |
| 90688 |
|
94 |
87 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 81003 |
|
282 |
250 |
$366.76 |
| 90756 |
|
17 |
17 |
$306.95 |
| 87807 |
|
16 |
12 |
$130.16 |
| 85018 |
|
33 |
31 |
$57.10 |
| 3008F |
|
20 |
12 |
$0.00 |