| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,287 |
2,090 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
956 |
886 |
$42K |
| 87428 |
|
527 |
477 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
180 |
171 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
155 |
83 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
166 |
166 |
$608.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
21 |
$556.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
42 |
$488.45 |
| 90686 |
|
54 |
54 |
$199.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
13 |
$190.58 |
| 99000 |
|
17 |
16 |
$148.96 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$0.00 |