| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,661 |
2,458 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,232 |
1,136 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
73 |
$7K |
| 85013 |
|
795 |
789 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
51 |
$5K |
| 90658 |
|
61 |
61 |
$2K |
| 81003 |
|
848 |
815 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
40 |
$1K |
| 90686 |
|
70 |
69 |
$1K |
| 87430 |
|
12 |
12 |
$162.36 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$53.07 |
| 90649 |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |